| Central Park Clinic Coorporation | |
|
8020 Central Park Dr Suite 3 Waco TX 76712-6652 | |
| (254) 732-4139 | |
| (254) 732-4209 |
| Full Name | Central Park Clinic Coorporation |
|---|---|
| Speciality | Family Medicine |
| Location | 8020 Central Park Dr, Waco, Texas |
| Authorized Official Name and Position | Carrie Ann Johnson (PRESIDENT) |
| Authorized Official Contact | 2547324139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Park Clinic Coorporation 8020 Central Park Dr Suite 3 Waco TX 76712-6652 Ph: (254) 732-4139 | Central Park Clinic Coorporation 8020 Central Park Dr Suite 3 Waco TX 76712-6652 Ph: (254) 732-4139 |
| NPI Number | 1114188943 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114188943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
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