Central Park Clinic Coorporation

NPI #1114188943 in Waco, Texas

Provider Information

NPI Number: 1114188943
Entity Type: Organization
Organization Name: Central Park Clinic Coorporation
Primary Specialty: Family Medicine
Enumeration Date: Jun 24, 2008
Last Updated: Jun 24, 2008

Practice Location

Address: 8020 CENTRAL PARK DR
Address 2: SUITE 3
City: Waco
State: Texas
ZIP Code: 76712-6652
Phone: (254) 732-4139

Authorized Official

Name: MRS. CARRIE ANN JOHNSON, MSN, FNP-C
Title: PRESIDENT
Phone: (254) 732-4139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Geriatric Medicine — Geriatric Medicine	207QG0300X
Family Medicine	207Q00000X	Primary

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