Est 400 Of Waco Llc
Specialty details in registry · Waco, TX
At a glance
4555 Lake Shore Dr, Waco, TX 76710-1814
NPPES record updated May 7, 2013. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
4555 Lake Shore DrWaco, TX 76710-1814
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QM0801X
- Enumeration date
- May 7, 2013
- Record updated
- May 7, 2013
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
261QM0801X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
4555 Lake Shore DrWaco, TX 76710-1814
- Phone
- (254) 776-0400
- Fax
- (254) 776-0637
Mailing address
4555 LAKE SHORE DRWACO, TX 767101814
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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