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
3420 W WACO DR, WACO, TX 76710-5437
(254) 757-3933
(254) 752-1931
Mailing address
110 S 12TH ST, P O BOX, WACO, TX 76701-1810
(254) 752-3451
(254) 752-7421
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111409201
—
TX
Enumeration date
10/24/2006
Last updated
03/05/2020
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