Waco Bluebonnet Holdings, Inc.

NPI #1760282289 in Waco, Texas

Provider Information

NPI Number: 1760282289
Entity Type: Organization
Organization Name: Waco Bluebonnet Holdings, Inc.
Primary Specialty: Nurse Practitioner
Enumeration Date: Mar 14, 2025
Last Updated: Mar 14, 2025

Practice Location

Address: 307 LONDONDERRY DR
City: Waco
State: Texas
ZIP Code: 76712-7915
Phone: (254) 751-1790

Authorized Official

Name: BRENT MCKENZIE
Title: CFO
Phone: (254) 772-5577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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