Providence Health Services of Waco

NPI #1073506457 in Waco, Texas

Provider Information

NPI Number: 1073506457
Entity Type: Organization
Organization Name: Providence Health Services of Waco
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Aug 31, 2005
Last Updated: Jan 26, 2012

Practice Location

Address: 540 MEADOWLAKE CTR
City: Waco
State: Texas
ZIP Code: 76712-3981
Phone: (254) 741-2495

Authorized Official

Name: MR. KENT KEAHEY
Title: CEO
Phone: (254) 751-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetic/Orthotic Supplier	335E00000X
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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