Organization
CITY OF WACO
Active
Other names
Waco McLennan County Public Health District
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY L. WILLIAMS (DIRECTOR)
(254) 750-5459
Entity
Organization
Contact information
Practice address
225 WEST WACO DRIVE, WACO, TX 76707-3897
(254) 750-5409
(254) 750-5455
Mailing address
225 WEST WACO DRIVE, WACO, TX 76707-3897
(254) 750-5409
(254) 750-5455
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
F7262
TX
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138707803
—
TX
05
—
138707804
—
TX
05
—
138707806
—
TX
05
—
138707810
—
TX
Enumeration date
07/06/2006
Last updated
05/16/2012
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