Waco Orthopedic Clinic

NPI #1417020959 in Waco, Texas

Provider Information

NPI Number: 1417020959
Entity Type: Organization
Organization Name: Waco Orthopedic Clinic
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Nov 15, 2006
Last Updated: Apr 8, 2008

Practice Location

Address: 6600 FISH POND RD
Address 2: SUITE 201
City: Waco
State: Texas
ZIP Code: 76710-2581
Phone: (254) 752-9638

Authorized Official

Name: JON MARC GOODNIGHT, M.D.
Title: PHYSICIAN PARTNER
Phone: (254) 752-9638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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