Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PHENOMENON INC.
Active
Organization
PHENOMENON INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRELL LEE SMITH JR. (CEO)
(254) 224-6347
Entity
Organization
Contact information
Practice address
6532 BURLING ST, WACO, TX 76712-7577
(254) 224-6347
Mailing address
6532 BURLING ST, WACO, TX 76712-7577
(254) 224-6347
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
TX
Other
Enumeration date
07/15/2015
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up