| Transformation Waco | |
|
3005 Edna Ave Waco TX 76708-1849 | |
| (254) 754-9169 | |
| Not Available |
| Full Name | Transformation Waco |
|---|---|
| Speciality | Clinic/center |
| Location | 3005 Edna Ave, Waco, Texas |
| Authorized Official Name and Position | Sarah Pedrotti (EXECUTIVE DIRECTOR STUDENT ADVOCACY) |
| Authorized Official Contact | 2547549169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformation Waco 3005 Edna Ave Waco TX 76708-1849 Ph: (254) 754-9169 | Transformation Waco 3005 Edna Ave Waco TX 76708-1849 Ph: (254) 754-9169 |
| NPI Number | 1376315929 |
|---|---|
| Provider Enumeration Date | 10/26/2023 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376315929 | NPI | - | NPPES |
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