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Providence Health Services Of Waco, Inc
Prosthetic/Orthotic Supplier in Waco, Texas
NPI 1902047285

Providence Health Services Of Waco, Inc is a Prosthetic/Orthotic Supplier based in Waco, TX. Providence Health Services Of Waco, Inc practices in Waco, TX. The NPI Number for Providence Health Services Of Waco, Inc is 1902047285 and holds a License No. (Texas).

The current practice location address for Providence Health Services Of Waco, Inc is 6600 Fish Pond Road, Waco, TX and can be reached out via phone at 254-741-2495.

Location: 6600 Fish Pond Road, Waco, TX, 76712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902047285
Provider Name
Providence Health Services Of Waco, Inc
Credential
Provider Entity Type
Organization
Address
6600 Fish Pond Road, Waco, TX, 76712
Phone Number
254-741-2495
Fax Number
Provider Enumeration Date
03/16/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0160434-01 05 TX
institution
Provider Business Practice Location Address Details
Address
6600 Fish Pond Road
City
Waco
State
Texas
Zip
76710
Phone Number
254-741-2495
Fax Number
person
Provider Business Mailing Address Details
Address
6600 Fish Pond Road
City
Waco
State
Texas
Zip
76710
Phone Number
254-741-2495
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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