Waco Va

NPI #1326223512 in Hewitt, Texas

Provider Information

NPI Number
1326223512
Entity Type
Organization
Organization Name
Waco Va
Primary Specialty
Psychiatric Hospital
Enumeration Date
Jan 7, 2008
Last Updated
Jan 7, 2008

Practice Location

Address
301 BRENDA DR
City
Hewitt
State
Texas
ZIP Code
76643-3862
Phone
(254) 666-9571

Authorized Official

Name
MRS. MARIE LUEVENIA WARE
Title
RN
Phone
(254) 666-9571

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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