Sanger Avenue Medical

NPI Provider: 1679554844
Contact Name: Horner L Douglas
Position: Clinic Administrator
Phone: (254) 752-2300

Sanger Avenue Medical Information:

Sanger Avenue Medical organization have npi 1679554844, taxonomy code is 291U00000X with license number is in . This Business address located in 6614 Sanger Ave, Waco, TX 76710 Texas.

Practice Location
Address: 6614 Sanger Ave, Waco, TX 76710
Phone: (254) 752-2300

Business Location
Address: 6614 Sanger Ave, Waco, TX 76710
Phone: (254) 752-2300
Fax: (254) 752-9436

Taxonomy

Taxonomy Code: 291U00000X

License Number:

License Number of State: TX

Primary Taxonomy Switch: Y

Enumeration Date: 11/7/2005

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