Organization
WACO OPHTHALMOLOGY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD FRECH (ADMINISTRATOR)
(417) 350-4390
Entity
Organization
Contact information
Practice address
602 W STATE HIGHWAY 6 STE B, WACO, TX 76712-3977
(123) 456-7890
Mailing address
602 W STATE HIGHWAY 6 STE B, WACO, TX 76712-3977
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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