Providence Health Services of Waco

NPI #1033436407 in Waco, Texas

Provider Information

NPI Number
1033436407
Entity Type
Organization
Organization Name
Providence Health Services of Waco
Primary Specialty
Psychiatric Hospital
Enumeration Date
Apr 26, 2010
Last Updated
Nov 21, 2017

Practice Location

Address
301 LONDONDERRY DR
City
Waco
State
Texas
ZIP Code
76712-7915
Phone
(254) 751-4146

Authorized Official

Name
MR. CRAIG CORDOLA
Title
CEO
Phone
(512) 325-1000

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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