Emergency Medicine Doctor of Waco, PA

NPI #1548466766 in Waco, Texas

Provider Information

NPI Number: 1548466766
Entity Type: Organization
Organization Name: Emergency Medicine Doctor of Waco, PA
Primary Specialty: Emergency Medicine
Enumeration Date: Jun 25, 2007
Last Updated: Jul 29, 2014

Practice Location

Address: 3721 HERWOL AVE
City: Waco
State: Texas
ZIP Code: 76710-7218
Phone: (254) 493-8337

Authorized Official

Name: JAMES PETTIT, DO
Title: OWNER-PRESIDENT
Phone: (254) 752-9821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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