Providence Health Services of Waco, INC
NPI #1902047285 in Waco, Texas
Provider Information
- NPI Number
- 1902047285
- Entity Type
- Organization
- Organization Name
- Providence Health Services of Waco, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROVIDENCE HEALTH SERVICES OF WACO, INC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Mar 16, 2009
- Last Updated
- Aug 4, 2010
Practice Location
Authorized Official
- Name
- MR. ODIS W. NICHOLS JR.
- Title
- COO
- Phone
- (254) 751-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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