# WACO PM&R GROUP, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245212745
- **Authorized official:** DR. RICHARD E SCOTT JR. D.O. (PRESIDENT)
- **Authorized official phone:** (254) 753-7200

## Contact information

- **Practice address:** 50 HILLCREST MEDICAL BLVD., SUITE 104, WACO, TX 76712
- **Practice address phone:** (254) 753-7200
- **Practice address fax:** (254) 753-0388
- **Mailing address:** PO BOX 22052, WACO, TX 76702-2052
- **Mailing address phone:** (254) 753-7200
- **Mailing address fax:** (254) 753-0388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | J8763 | TX | Yes |

## Other

- **Enumeration date:** 11/18/2005
- **Last updated:** 01/27/2010