Organization
CARDIAC CATH LAB OF WACO LP
Active
Other names
Waco Cardiology Cath Lab
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARIE BEMIS (AUTHORIZED OFFICIAL)
(858) 504-5667
Entity
Organization
Contact information
Practice address
7125 SANGER AVE, SUITE D, WACO, TX 76712-4054
(254) 776-0800
(254) 776-0801
Mailing address
DEPT# 3014, PO BOX 4417, HOUSTON, TX 77210-4417
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2011
Last updated
11/09/2023
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