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185 Eastgate Plz Waco TX 76705-2868 | |
| (254) 412-2667 | |
| (254) 798-5766 |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 185 Eastgate Plz, Waco, Texas |
| Authorized Official Name and Position | Nat Mangum (CEO) |
| Authorized Official Contact | 4696886628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5931 Desco Dr Dallas TX 75225-1604 Ph: (214) 563-5122 | 185 Eastgate Plz Waco TX 76705-2868 Ph: (254) 412-2667 |
| NPI Number | 1386780336 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 04/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386780336 | NPI | - | NPPES |
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Heart Of Texas Region Mental Health Mental Retardation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 | |
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Heart Of Texas Region Mental Health Mental Retardation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 |