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Organization

WACO PEDIATRIC HEALTH ASSOCIATES

Active
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Organization

WACO PEDIATRIC HEALTH ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HARVEY SPARK MD (OWNER PRES)
(254) 756-6836
Entity
Organization

Contact information

Practice address
3115 PINE AVE, 1006, WACO, TX 76708-3247
(254) 756-6836
(254) 756-6865
Mailing address
3115 PINE AVE, 1006, WACO, TX 76708-3247
(254) 756-6836
(254) 756-6865

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D1333
TX

Other

Enumeration date
10/26/2006
Last updated
08/01/2007
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