Organization
WACO EYE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA BANISTER (OFFICE MANAGER)
(254) 756-4457
Entity
Organization
Contact information
Practice address
2400 AMBASSADOR DR, WACO, TX 76712-9702
(254) 756-4457
(254) 756-1718
Mailing address
2400 AMBASSADOR DR, WACO, TX 76712-9702
(254) 756-4457
(254) 756-1718
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161488501
—
TX
Enumeration date
07/19/2006
Last updated
07/20/2022
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