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Providence Health Alliance
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Waco, Texas
NPI 1063027464

Providence Health Alliance is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Austin, TX. Providence Health Alliance practices in Waco, TX. The NPI Number for Providence Health Alliance is 1063027464 and holds a License No. (Texas).

The current practice location address for Providence Health Alliance is 1130 N Loop 340, Waco, TX and can be reached out via phone at 254-537-6880 and via fax at 254-751-4859.

Location: 1130 N Loop 340, Waco, TX, 78723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063027464
Provider Name
Providence Health Alliance
Credential
Provider Entity Type
Organization
Address
1130 N Loop 340, Waco, TX, 78723
Phone Number
254-537-6880
Fax Number
254-751-4859
Provider Enumeration Date
09/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1130 N Loop 340
City
Waco
State
Texas
Zip
76705
Phone Number
254-537-6880
Fax Number
254-751-4859
person
Provider Business Mailing Address Details
Address
1130 N Loop 340
City
Waco
State
Texas
Zip
76705
Phone Number
254-537-6880
Fax Number
254-751-4859
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
()
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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