NPI Provider: 1245212745
Contact Name: Scott E Richard
Position: President
Phone: (254) 753-7200
Waco Pm&r Group, Pa Information:
Waco Pm&r Group, Pa organization have npi 1245212745, taxonomy code is 208100000X with license number is J8763 in . This Business address located in 3115 Pine Ave, Waco, TX 76708 Texas.
Practice Location
Address: 3115 Pine Ave, Waco, TX 76708
Phone: (254) 753-7200
Business Location
Address: 3115 Pine Ave, Waco, TX 76708
Phone: (254) 753-7200
Fax: (254) 753-0388
Taxonomy
Taxonomy Code: 208100000X
License Number: J8763
License Number of State: TX
Primary Taxonomy Switch: Y
Enumeration Date: 11/18/2005
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