Ultra Hydro Vascular Systems LLC

NPI #1912142084 in Waco, Texas

Provider Information

NPI Number
1912142084
Entity Type
Organization
Organization Name
Ultra Hydro Vascular Systems LLC
Primary Specialty
Physiological Laboratory
Enumeration Date
Dec 3, 2008
Last Updated
Dec 3, 2008

Practice Location

Address
5010 LAKELAND CIRCLE
Address 2
SUITE B
City
Waco
State
Texas
ZIP Code
76710-2981
Phone
(254) 230-8296

Authorized Official

Name
DR. ROBERT DEAN ALLISON, PH.D., FSVM
Title
PRESIDENT & CEO
Phone
(254) 230-8296

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility
Physiological Laboratory

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