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Organization

PROVIDENCE HEALTH SERVICES OF WACO

Active
Other names
Emergency Room Physician Group
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM BARCUS (DIRECTOR, BUSINESS SERVICES)
(254) 751-4161
Entity
Organization

Contact information

Practice address
6901 MEDICAL PKWY, WACO, TX 76712-7910
(254) 751-4146
(254) 751-4283
Mailing address
PO BOX 2589, WACO, TX 76702-2589
(254) 751-4146
(254) 751-4283

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
03/28/2006
Last updated
02/01/2012
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