Mclennan Community College

NPI #1124701412 in Waco, Texas

Provider Information

NPI Number
1124701412
Entity Type
Organization
Organization Name
Mclennan Community College
Primary Specialty
Family Medicine - Sports Medicine
Enumeration Date
Aug 11, 2023
Last Updated
Aug 11, 2023

Practice Location

Address
1400 COLLEGE DR
City
Waco
State
Texas
ZIP Code
76708-1402
Phone
(972) 367-4845

Authorized Official

Name
MR. MOUZON BASS III
Title
ADMINISTRATOR/AGENT
Phone
(972) 367-4845

Specialties & Taxonomy Codes

Specialty
Family Medicine - Sports MedicineSports Medicine

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