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1336331917
ELLIS SURGICAL PAVILION, LLC
WAXAHACHIE, TX
NPI
1336331917
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Entity Type
Organization
Authorized Contact
J. D. FAJARDO
CEO
972-938-1368
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2007-08-16
Last Update Date
2007-08-16
Business Address
ELLIS SURGICAL PAVILION, LLC
1014 FERRIS AVE STE. 214
WAXAHACHIE, TX 75165-2599
Phone number: 972-938-1368
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Mailing Address
ELLIS SURGICAL PAVILION, LLC
1014 FERRIS AVE STE. 214
WAXAHACHIE, TX 75165-2599
Phone number:
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