Organization
WACO VA
Active
Organization
WACO VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE LUEVENIA WARE (RN)
(254) 666-9571
Entity
Organization
Contact information
Practice address
301 BRENDA DR, HEWITT, TX 76643-3862
(254) 666-9571
Mailing address
301 BRENDA DR, HEWITT, TX 76643-3862
(254) 666-9571
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
537457
TX
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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