Sanger Avenue Medical

NPI #1679554844 in Waco, Texas

Provider Information

NPI Number: 1679554844
Entity Type: Organization
Organization Name: Sanger Avenue Medical
Primary Specialty: Family Medicine
Enumeration Date: Nov 7, 2005
Last Updated: Jun 10, 2008

Practice Location

Address: 6614 SANGER AVE
City: Waco
State: Texas
ZIP Code: 76710-4253
Phone: (254) 752-2300

Authorized Official

Name: DR. DOUGLAS L HORNER, PH.D.
Title: CLINIC ADMINISTRATOR
Phone: (254) 752-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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