NPI 1033436407
Providence Health Services of Waco
Practice location
- Address
- 301 Londonderry Dr, Waco, TX 76712-7915
- Phone
- (254) 751-4146
- Fax
- (254) 751-4283
- Mailing address
- PO Box 2589, Waco, TX 76702-2589
Authorised official
- Name
- Craig Cordola
- Title
- Ceo
- Phone
- (512) 325-1000
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1033436407
- Entity type
- Organization
- NPI issued
- 26 Apr 2010
- Record last updated
- 21 Nov 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.