Organization
HEART OF TEXAS COMMUNITY HEALTH CENTER INC
Active
Other names
Waco Family Medicine - Madison Cooper
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW POLK PHD (COO)
(254) 313-4412
Entity
Organization
Contact information
Practice address
1610 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
(254) 313-4549
Mailing address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
(254) 313-4549
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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