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Contact Information

WACO INFECTIOUS DISEASE ASSOCIATES P A
7030 NEW SANGER AVE
STE 202
WACO, TX76712
 Phone: 254-741-1860
 Fax: 254-741-1249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WACO INFECTIOUS DISEASE ASSOCIATES P A · (Female)

NPI Number 1003844531
Status Active
Credentials
Entity Individual
Enumeration date 06/30/2006
Last updated 09/09/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 094993501
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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