Providence Health Service Of Waco

NPI Provider: 1710970397
Contact Name: Sadro A Cheryl
Position: Senior VP, CFO
Phone: (254) 751-4146

Providence Health Service Of Waco Information:

Providence Health Service Of Waco organization have npi 1710970397, taxonomy code is 283Q00000X with license number is 736 in . This Business address located in PO Box 2589, Waco, TX 76702 Texas.

Practice Location
Address: 301 Londonderry Dr, Waco, TX 76712
Phone: (254) 776-5970

Business Location
Address: PO Box 2589, Waco, TX 76702
Phone: (254) 776-5970
Fax: (254) 751-4887

Taxonomy

Taxonomy Code: 283Q00000X

License Number: 736

License Number of State: TX

Primary Taxonomy Switch: Y

Enumeration Date: 8/29/2005

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