Waco Pediatric Health Associates

NPI #1891870242 in Waco, Texas

Provider Information

NPI Number
1891870242
Entity Type
Organization
Organization Name
Waco Pediatric Health Associates
Primary Specialty
Pediatrics
Enumeration Date
Oct 26, 2006
Last Updated
Aug 1, 2007

Practice Location

Address
3115 PINE AVE
Address 2
1006
City
Waco
State
Texas
ZIP Code
76708-3247
Phone
(254) 756-6836

Authorized Official

Name
DR. HARVEY SPARK, MD
Title
OWNER PRES
Phone
(254) 756-6836

Specialties & Taxonomy Codes

Specialty
Pediatrics

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