Organization
PROVIDENCE HEALTH SERVICES OF WACO
Active
Other names
Providence Bariatric Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN K RICHARDSON (SR.VP/CFO)
(254) 751-4766
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
208600000X
Surgery Physician
Primary
000040
TX
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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