Individual
ALICIA MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 SANGER AVE STE E, WACO, TX 76710-5891
(817) 706-2774
Mailing address
2000 RUIDOSO DR, WACO, TX 76712-8475
(817) 706-2774
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1545844
TX
Other
Enumeration date
01/14/2026
Last updated
01/16/2026
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