Whalio Doctors

NPI 1710970397

Providence Health Services of Waco

Organisation Psychiatric Hospital Waco, TX

Practice location

Address
301 Londonderry Dr, Waco, TX 76712-7915
Phone
(254) 776-5970
Fax
(254) 751-4887
Mailing address
PO Box 2589, Waco, TX 76702-2589

Authorised official

Name
Karen a Richardson
Title
Senior Vp, Cfo
Phone
(254) 751-4172

Registered specialties

Psychiatric Hospital Primary
Hospitals Taxonomy 283Q00000X Licence 000736 (TX)

Registry record

NPI
1710970397
Entity type
Organization
NPI issued
29 Aug 2005
Record last updated
19 May 2010

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.