| Clinic Hispana | |
|
3833 Franklin Ave Waco TX 76710-7345 | |
| (254) 298-8926 | |
| Not Available |
| Full Name | Clinic Hispana |
|---|---|
| Speciality | Internal Medicine |
| Location | 3833 Franklin Ave, Waco, Texas |
| Authorized Official Name and Position | Jonathon Ingram (CHIEF MARKETING OFFICER) |
| Authorized Official Contact | 8323501778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinic Hispana Po Box 339 Holland TX 76534-0339 Ph: (512) 487-5556 | Clinic Hispana 3833 Franklin Ave Waco TX 76710-7345 Ph: (254) 298-8926 |
| NPI Number | 1457936635 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 06/23/2022 |
| Medicare PECOS PAC ID | 7810362035 |
|---|---|
| Medicare Enrollment ID | O20230331000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457936635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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