Organization
HEART OF TEXAS COMMUNITY HEALTH CENTER, INC.
Active
Other names
Waco Family Medicine - Santa Fe
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW POLK (CHIEF OPERATING OFFICER)
(254) 313-4412
Entity
Organization
Contact information
Practice address
600 S 25TH ST STE 115, TEMPLE, TX 76504-5227
(254) 899-8650
(254) 899-8669
Mailing address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
(254) 313-4531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344169301
—
TX
Enumeration date
12/23/2014
Last updated
04/09/2025
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