# WIC, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Waco Open MRI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508954892
- **Authorized official:** MR. JOHN S. COWAN (MANAGER)
- **Authorized official phone:** (254) 772-5612

## Contact information

- **Practice address:** 105 OLD HEWITT RD, 200, WACO, TX 76712-6549
- **Practice address phone:** (254) 772-5612
- **Practice address fax:** (254) 772-5617
- **Mailing address:** 105 OLD HEWITT RD, 200, WACO, TX 76712-6549
- **Mailing address phone:** (254) 772-5612
- **Mailing address fax:** (254) 772-5617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 08/22/2020