Organization
WIC, LTD.
Active
Other names
Waco Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S. COWAN (MANAGER)
(254) 772-5612
Entity
Organization
Contact information
Practice address
105 OLD HEWITT RD, 200, WACO, TX 76712-6549
(254) 772-5612
(254) 772-5617
Mailing address
105 OLD HEWITT RD, 200, WACO, TX 76712-6549
(254) 772-5612
(254) 772-5617
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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