Organization
HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL THOMPSON (EXECUTIVE DIRECTOR)
(254) 752-3451
Entity
Organization
Contact information
Practice address
110 S 12TH ST, WACO, TX 76701-1810
(254) 752-3451
(254) 756-3133
Mailing address
PO BOX 890, WACO, TX 76703-0890
(254) 752-3451
(254) 756-3133
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
2007020591
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029167601
—
TX
Enumeration date
10/13/2006
Last updated
04/07/2022
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