Organization
WACO INFECTIOUS DISEASE ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E FARLEY VERNER MD (PARTNER)
(254) 741-1860
Entity
Organization
Contact information
Practice address
7030 NEW SANGER AVE, STE 202, WACO, TX 76712
(254) 741-1860
(254) 741-1249
Mailing address
7030 NEW SANGER AVE, STE 202, WACO, TX 76712
(254) 741-1860
(254) 741-1249
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094993501
—
TX
Enumeration date
06/30/2006
Last updated
09/09/2009
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