Waco Functional Medicine, PA

NPI #1093016826 in Waco, Texas

Provider Information

NPI Number: 1093016826
Entity Type: Organization
Organization Name: Waco Functional Medicine, PA
Primary Specialty: Family Medicine
Enumeration Date: Nov 10, 2010
Last Updated: Nov 10, 2010

Practice Location

Address: 318 RICHLAND WEST CIR STE B
City: Waco
State: Texas
ZIP Code: 76712-7919
Phone: (254) 776-8009

Authorized Official

Name: LISA J KIRK, D.O.
Title: OWNER
Phone: (254) 776-8009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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