institution
Providence Health Services Of Waco
Ambulatory Surgical Clinic/Center in Waco, Texas
NPI 1962505354

Providence Health Services Of Waco is an Ambulatory Surgical Clinic/Center based in Waco, TX and is specialized in Ambulatory Surgical. Providence Health Services Of Waco practices in Waco, TX. The NPI Number for Providence Health Services Of Waco is 1962505354 and holds a License No. (Texas).

The current practice location address for Providence Health Services Of Waco is 6901 Medical Pkwy, Waco, TX and can be reached out via phone at 254-751-4146 and via fax at 254-751-4283.

Location: 6901 Medical Pkwy, Waco, TX, 76702-2589
institution
Provider Profile Details
NPI Number
1962505354
Provider Name
Providence Health Services Of Waco
Credential
Provider Entity Type
Organization
Address
6901 Medical Pkwy, Waco, TX, 76702-2589
Phone Number
254-751-4146
Fax Number
254-751-4283
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
111829101 05 TX
institution
Provider Business Practice Location Address Details
Address
6901 Medical Pkwy
City
State
Zip
76712-7910
Phone Number
254-751-4146
Fax Number
254-751-4283
person
Provider Business Mailing Address Details
Address
6901 Medical Pkwy
City
State
Zip
76712-7910
Phone Number
254-751-4146
Fax Number
254-751-4283
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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