| Family Health Center | |
|
1600 Providence Dr Waco TX 76707-2261 | |
| (254) 313-4200 | |
| (254) 313-4531 |
| Full Name | Family Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1600 Providence Dr, Waco, Texas |
| Authorized Official Name and Position | Annette Ballew (CFO) |
| Authorized Official Contact | 2543134282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center 1600 Providence Dr Waco TX 76707-2261 Ph: (254) 313-4200 | Family Health Center 1600 Providence Dr Waco TX 76707-2261 Ph: (254) 313-4200 |
| NPI Number | 1689651440 |
|---|---|
| Provider Enumeration Date | 12/22/2005 |
| Last Update Date | 07/12/2016 |
| Medicare PECOS PAC ID | 0042205155 |
|---|---|
| Medicare Enrollment ID | O20040419000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689651440 | NPI | - | NPPES |
| 121447001 | Medicaid | TX | |
| 121447002 | Medicaid | TX | |
| 121447003 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stacy Lynn Lessman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821095316 PECOS PAC ID: 5395734578 Enrollment ID: I20040525001505 |
| Provider Name | Manish P Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922056357 PECOS PAC ID: 7517948383 Enrollment ID: I20040527000232 |
| Provider Name | Nicholas Schwedock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598742124 PECOS PAC ID: 0749262723 Enrollment ID: I20040603000472 |
| Provider Name | John H Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578540183 PECOS PAC ID: 3274516166 Enrollment ID: I20040610001793 |
| Provider Name | Joel Mark Rister |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194815084 PECOS PAC ID: 0244299725 Enrollment ID: I20041008001229 |
| Provider Name | Kelley M Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528045846 PECOS PAC ID: 2769434554 Enrollment ID: I20050221000526 |
| Provider Name | Randall Lynn York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740261395 PECOS PAC ID: 4688601016 Enrollment ID: I20050718000811 |
| Provider Name | Michael J Borucki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194713230 PECOS PAC ID: 6103858402 Enrollment ID: I20050907001234 |
| Provider Name | Matthew R Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023095676 PECOS PAC ID: 3072530716 Enrollment ID: I20051101000441 |
| Provider Name | Jackson O Griggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861479818 PECOS PAC ID: 9830117571 Enrollment ID: I20051110000592 |
| Provider Name | Terriawkia A Woods-campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861479180 PECOS PAC ID: 0345263729 Enrollment ID: I20060111001104 |
| Provider Name | Jenny Snow Carl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396712691 PECOS PAC ID: 1850315391 Enrollment ID: I20060123000952 |
| Provider Name | Rita L Haws |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043297005 PECOS PAC ID: 8820009624 Enrollment ID: I20060508000842 |
| Provider Name | Kevin Steele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245268929 PECOS PAC ID: 5698786390 Enrollment ID: I20060509000822 |
| Provider Name | Floyd C Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447268164 PECOS PAC ID: 5890799795 Enrollment ID: I20060907000449 |
| Provider Name | Hayley S Voige |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598961963 PECOS PAC ID: 9335240951 Enrollment ID: I20070726000697 |
| Provider Name | Chia Lien Wang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689641656 PECOS PAC ID: 7214029644 Enrollment ID: I20070815000473 |
| Provider Name | Adam D Flowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053443788 PECOS PAC ID: 5890887038 Enrollment ID: I20070817000505 |
| Provider Name | Robert C Rainey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871781302 PECOS PAC ID: 8426131145 Enrollment ID: I20080218000646 |
| Provider Name | Karen M Patterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629086954 PECOS PAC ID: 4183700404 Enrollment ID: I20080327000367 |
| Provider Name | Lisa L Falls |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275604340 PECOS PAC ID: 2860578077 Enrollment ID: I20080328000272 |
| Provider Name | Burritt W Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902866569 PECOS PAC ID: 4284713215 Enrollment ID: I20080502000075 |
| Provider Name | Susan Laura Rhodes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144497637 PECOS PAC ID: 0446325898 Enrollment ID: I20080819000570 |
| Provider Name | Keith Boles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710946561 PECOS PAC ID: 6709951890 Enrollment ID: I20080825000620 |
| Provider Name | Donald M Hardin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083877054 PECOS PAC ID: 0941361869 Enrollment ID: I20081210000154 |
| Provider Name | Latrisha Spain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336399625 PECOS PAC ID: 7113080888 Enrollment ID: I20090107000508 |
| Provider Name | Rebecca D Mahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255582607 PECOS PAC ID: 9133283997 Enrollment ID: I20090123000194 |
| Provider Name | Joel B Mahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720239106 PECOS PAC ID: 8426112764 Enrollment ID: I20090130000387 |
| Provider Name | Josephine E Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699915066 PECOS PAC ID: 0446307979 Enrollment ID: I20090420000447 |
| Provider Name | Kenneth W Koeritz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881784775 PECOS PAC ID: 5890844468 Enrollment ID: I20090617000582 |
| Provider Name | Kimberly L Micus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235199753 PECOS PAC ID: 6103970629 Enrollment ID: I20090819000043 |
| Provider Name | Claudia G Bachofen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982663886 PECOS PAC ID: 6507910031 Enrollment ID: I20090819000126 |
| Provider Name | Carl A Dunn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013977834 PECOS PAC ID: 6305990649 Enrollment ID: I20090820000422 |
| Provider Name | Mark A Beaird |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861452088 PECOS PAC ID: 6002960374 Enrollment ID: I20090820000655 |
| Provider Name | Matthew B Bierwirth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750340568 PECOS PAC ID: 3577602986 Enrollment ID: I20091124000529 |
| Provider Name | Isaac J Lippe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366403545 PECOS PAC ID: 5092856849 Enrollment ID: I20091231000058 |
| Provider Name | Lauren G Barron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245217058 PECOS PAC ID: 3870634645 Enrollment ID: I20091231000178 |
| Provider Name | Heather C Hammonds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063685816 PECOS PAC ID: 6901949056 Enrollment ID: I20100211000414 |
| Provider Name | John R Mcclanahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275866212 PECOS PAC ID: 3072657790 Enrollment ID: I20100218000873 |
| Provider Name | Courtney Blair Parker-hudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285611806 PECOS PAC ID: 4082747506 Enrollment ID: I20100804001192 |
| Provider Name | William Michael Chop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639156425 PECOS PAC ID: 5698808012 Enrollment ID: I20100804001245 |
| Provider Name | Sally P Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457338733 PECOS PAC ID: 1254524291 Enrollment ID: I20101021001284 |
| Provider Name | Floyd L Barry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649257429 PECOS PAC ID: 8426245242 Enrollment ID: I20101206001199 |
| Provider Name | Michael L Jahrmarkt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598742108 PECOS PAC ID: 9830386598 Enrollment ID: I20101207000502 |
| Provider Name | Donald R Koester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275510968 PECOS PAC ID: 6608063250 Enrollment ID: I20101208000289 |
| Provider Name | Stephanie E Claus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659673036 PECOS PAC ID: 0648454157 Enrollment ID: I20110407000426 |
| Provider Name | Jenny Lee Brakovec |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689834863 PECOS PAC ID: 4183892169 Enrollment ID: I20110718000542 |
| Provider Name | Megan K Lemley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922394279 PECOS PAC ID: 7113197906 Enrollment ID: I20110906000253 |
| Provider Name | Jennifer L Sapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295020071 PECOS PAC ID: 7911164900 Enrollment ID: I20120202000331 |
| Provider Name | Lacy Coker Kessler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629239579 PECOS PAC ID: 2062678592 Enrollment ID: I20120726000722 |
| Provider Name | Juanita Castillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750554093 PECOS PAC ID: 3870740293 Enrollment ID: I20120820000997 |
| Provider Name | Julie K Bellah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528098167 PECOS PAC ID: 7113163890 Enrollment ID: I20130425000159 |
| Provider Name | Jesse Cover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366730301 PECOS PAC ID: 8123266764 Enrollment ID: I20130521000417 |
| Provider Name | Janet R Ellor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114212800 PECOS PAC ID: 3072752070 Enrollment ID: I20130625000039 |
| Provider Name | Jeremy G Korteweg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073801015 PECOS PAC ID: 4880836725 Enrollment ID: I20130806000577 |
| Provider Name | Carena L Chai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063579704 PECOS PAC ID: 0648364067 Enrollment ID: I20130819000687 |
| Provider Name | Amby J Cline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891058194 PECOS PAC ID: 6204064314 Enrollment ID: I20140117001469 |
| Provider Name | Rebekkah L Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861780819 PECOS PAC ID: 2668601444 Enrollment ID: I20140128001305 |
| Provider Name | Mary A Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265795595 PECOS PAC ID: 5991935934 Enrollment ID: I20140313000431 |
| Provider Name | William T Mccunniff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598028813 PECOS PAC ID: 6406088665 Enrollment ID: I20140422002057 |
| Provider Name | Benjamin Alan Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992091003 PECOS PAC ID: 2466673264 Enrollment ID: I20141020002509 |
| Provider Name | Zoe Michelle Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184987406 PECOS PAC ID: 9335360171 Enrollment ID: I20141021001074 |
| Provider Name | David Craig Schaefer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649533969 PECOS PAC ID: 6204057912 Enrollment ID: I20141022001082 |
| Provider Name | Adrian Dirk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841553153 PECOS PAC ID: 6800017039 Enrollment ID: I20141031000803 |
| Provider Name | Robert Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720131618 PECOS PAC ID: 7810219490 Enrollment ID: I20141210001108 |
| Provider Name | Anna Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386044329 PECOS PAC ID: 6406179647 Enrollment ID: I20141219001389 |
| Provider Name | Lance Patrick Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598069767 PECOS PAC ID: 5092038067 Enrollment ID: I20141223001414 |
| Provider Name | Michael F De Lota |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689937997 PECOS PAC ID: 9931426707 Enrollment ID: I20150317000537 |
| Provider Name | Ryan David Laschober |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861831034 PECOS PAC ID: 0749507499 Enrollment ID: I20150318000892 |
| Provider Name | Henry Carson Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558624866 PECOS PAC ID: 4082931753 Enrollment ID: I20150318001893 |
| Provider Name | Callie Carruth-harper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114319464 PECOS PAC ID: 5890013676 Enrollment ID: I20150407000360 |
| Provider Name | Thomas James Webb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588003867 PECOS PAC ID: 8224356639 Enrollment ID: I20150415001609 |
| Provider Name | Rachelle Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003255399 PECOS PAC ID: 7113245523 Enrollment ID: I20150415001665 |
| Provider Name | Clint William Mchenry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396008611 PECOS PAC ID: 4183943707 Enrollment ID: I20150504001497 |
| Provider Name | Jessica D Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649533944 PECOS PAC ID: 7113247685 Enrollment ID: I20150522002081 |
| Provider Name | Brandon Haney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083908073 PECOS PAC ID: 4587979182 Enrollment ID: I20150811005340 |
| Provider Name | Paula Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750575742 PECOS PAC ID: 9830367986 Enrollment ID: I20150928001075 |
| Provider Name | Sherry Spacek-llanas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568801629 PECOS PAC ID: 2062721962 Enrollment ID: I20151015001293 |
| Provider Name | Rachel Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710329859 PECOS PAC ID: 3779701313 Enrollment ID: I20151020002369 |
| Provider Name | Jacqueline Orler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811364466 PECOS PAC ID: 1850691163 Enrollment ID: I20151118000938 |
| Provider Name | Eric Braun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831501634 PECOS PAC ID: 6507169620 Enrollment ID: I20160125000842 |
| Provider Name | Becky Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770948010 PECOS PAC ID: 4880998632 Enrollment ID: I20160215002295 |
| Provider Name | Jennifer Seale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407295785 PECOS PAC ID: 1254636707 Enrollment ID: I20160222002484 |
| Provider Name | Krystal Estrada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851730022 PECOS PAC ID: 3274839139 Enrollment ID: I20160303000407 |
| Provider Name | Joshua Wesley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942612783 PECOS PAC ID: 9739486028 Enrollment ID: I20160331002104 |
| Provider Name | Samantha Conroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184036980 PECOS PAC ID: 7618275827 Enrollment ID: I20160420001920 |
| Provider Name | Iris A Tomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891107637 PECOS PAC ID: 5799075305 Enrollment ID: I20160609000499 |
| Provider Name | Deborah Simcox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396298410 PECOS PAC ID: 6305131095 Enrollment ID: I20160819000543 |
| Provider Name | Christopher Vera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760863153 PECOS PAC ID: 3577851757 Enrollment ID: I20161004002926 |
| Provider Name | Jonathan D Seale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255714739 PECOS PAC ID: 7618255464 Enrollment ID: I20161028000976 |
| Provider Name | Jay M Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760863138 PECOS PAC ID: 2365720125 Enrollment ID: I20161028001238 |
| Provider Name | Sheby Sara Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649682436 PECOS PAC ID: 9234417734 Enrollment ID: I20161104000285 |
| Provider Name | Amanda Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114330420 PECOS PAC ID: 7012296197 Enrollment ID: I20161112000050 |
| Provider Name | Taylor D Mccain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265815740 PECOS PAC ID: 4486933504 Enrollment ID: I20161114000861 |
| Provider Name | Grace M Hecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043659337 PECOS PAC ID: 7315227667 Enrollment ID: I20161203000204 |
| Provider Name | Iliana Neumann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508075185 PECOS PAC ID: 5496845893 Enrollment ID: I20161216000299 |
| Provider Name | Samuel Lindquist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568843936 PECOS PAC ID: 2062793334 Enrollment ID: I20161228000281 |
| Provider Name | Joshua Brent Stake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407237894 PECOS PAC ID: 6800178708 Enrollment ID: I20170130002568 |
| Provider Name | Shannon C Mcdermitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841736774 PECOS PAC ID: 4486937265 Enrollment ID: I20170202001211 |
| Provider Name | James C Heap |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417338880 PECOS PAC ID: 9638452790 Enrollment ID: I20170215001605 |
| Provider Name | Natalie Fjellanger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851830376 PECOS PAC ID: 3173807831 Enrollment ID: I20170227000186 |
| Provider Name | Calvin Bradley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780096578 PECOS PAC ID: 0547545451 Enrollment ID: I20170315002238 |
| Provider Name | Marissa Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154702579 PECOS PAC ID: 5294009593 Enrollment ID: I20170926001885 |
| Provider Name | John David Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942656269 PECOS PAC ID: 3779857958 Enrollment ID: I20170927001132 |
| Provider Name | Stephen Mccall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578975389 PECOS PAC ID: 8123394368 Enrollment ID: I20171016002884 |
| Provider Name | Kayla Lammert |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1225457633 PECOS PAC ID: 2264799378 Enrollment ID: I20171128001825 |
| Provider Name | Nicholas Wilhelm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578919775 PECOS PAC ID: 2668730193 Enrollment ID: I20171211001240 |
| Provider Name | Victoria Ariana Colmenero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588014856 PECOS PAC ID: 3678831930 Enrollment ID: I20171215000217 |
| Provider Name | Horacio Sosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831545938 PECOS PAC ID: 8820357486 Enrollment ID: I20180108000168 |
| Provider Name | Megan Abigail Arboleda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225484553 PECOS PAC ID: 0446519292 Enrollment ID: I20180124000975 |
| Provider Name | Ashley M Pitts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154838357 PECOS PAC ID: 3274893854 Enrollment ID: I20180130000546 |
| Provider Name | Katy Wesley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487066270 PECOS PAC ID: 0345521407 Enrollment ID: I20180806000647 |
| Provider Name | Melissa Ann Altamirano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760834808 PECOS PAC ID: 2769778463 Enrollment ID: I20180827000042 |
| Provider Name | Katie Carranza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508293705 PECOS PAC ID: 1052539954 Enrollment ID: I20180906001285 |
| Provider Name | Leslie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003101718 PECOS PAC ID: 9931329646 Enrollment ID: I20180917000673 |
| Provider Name | Starla Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871872069 PECOS PAC ID: 3678702933 Enrollment ID: I20180919001473 |
| Provider Name | Teresa Randall-wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568757268 PECOS PAC ID: 7214155183 Enrollment ID: I20180920000761 |
| Provider Name | Aaron Christian Blackwelder |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1629296553 PECOS PAC ID: 8426306382 Enrollment ID: I20180925001540 |
| Provider Name | Janet Huggard |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013039510 PECOS PAC ID: 0143519603 Enrollment ID: I20180925002394 |
| Provider Name | Claudia I Raimondo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1275510380 PECOS PAC ID: 8224389341 Enrollment ID: I20180927003147 |
| Provider Name | Michelle Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649729989 PECOS PAC ID: 3274812748 Enrollment ID: I20180928000024 |
| Provider Name | Julia Anne Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588140354 PECOS PAC ID: 2668723792 Enrollment ID: I20180928000440 |
| Provider Name | John Mccue |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1497732465 PECOS PAC ID: 8426348202 Enrollment ID: I20180928002070 |
| Provider Name | Taylor Gehring |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1538484571 PECOS PAC ID: 9931490489 Enrollment ID: I20181003000303 |
| Provider Name | Asana Mohamad |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1801101407 PECOS PAC ID: 6406145648 Enrollment ID: I20181004002423 |
| Provider Name | Wendi Weaver |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1114101821 PECOS PAC ID: 7012207426 Enrollment ID: I20181008000764 |
| Provider Name | Jason D Doel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811424815 PECOS PAC ID: 0143573782 Enrollment ID: I20181029000314 |
| Provider Name | Zachary Sartor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336595669 PECOS PAC ID: 2264785708 Enrollment ID: I20181030001399 |
| Provider Name | John Coleman Snider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124474465 PECOS PAC ID: 3476806910 Enrollment ID: I20181030001800 |
| Provider Name | Steven Christopher Liebing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770010787 PECOS PAC ID: 1355694852 Enrollment ID: I20181031000904 |
| Provider Name | Amy V Coker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699241844 PECOS PAC ID: 7911251715 Enrollment ID: I20181114001563 |
| Provider Name | Kimberly Trippodo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629544176 PECOS PAC ID: 8325384803 Enrollment ID: I20190104001920 |
| Provider Name | Jose Carlos Sepulveda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194252106 PECOS PAC ID: 5193063790 Enrollment ID: I20190206001026 |
| Provider Name | Andrew Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841646171 PECOS PAC ID: 5799023206 Enrollment ID: I20190207002443 |
| Provider Name | Crystal Steed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730616749 PECOS PAC ID: 3274871322 Enrollment ID: I20190214001750 |
| Provider Name | Kelsey Elaine Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558717876 PECOS PAC ID: 9335487354 Enrollment ID: I20190215001756 |
| Provider Name | Rachel N Rube |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992151229 PECOS PAC ID: 0941548705 Enrollment ID: I20190220003309 |
| Provider Name | Brock Niceler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164608113 PECOS PAC ID: 8527195528 Enrollment ID: I20190227000327 |
| Provider Name | Morgan Nicole Dickerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295262293 PECOS PAC ID: 9133468333 Enrollment ID: I20190306001137 |
| Provider Name | Lauren Elise Repa Dickman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093371809 PECOS PAC ID: 7517293350 Enrollment ID: I20190731002323 |
Waco Infectious Disease Associates P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7030 New Sanger Ave, Ste 202, Waco, TX 76712 Phone: 254-741-1860 Fax: 254-741-1249 | |
Waco Regional Cancer Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3420 Pine Ave, Waco, TX 76708 Phone: 254-752-2900 Fax: 254-752-2902 | |
Careconnect Medical Group P.l.l.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Lake Shore Dr Apt 121, Waco, TX 76708 Phone: 254-498-6671 | |
Medico Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1437 S. Valley Mills Drive, Waco, TX 76711 Phone: 254-221-1901 Fax: 254-221-1909 | |
Mark H. Dickie, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 782 Dry Creek Rd, Waco, TX 76705 Phone: 254-870-4417 Fax: 254-230-4493 | |
Slsp Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 W Hwy 6, Suite 108, Waco, TX 76710 Phone: 254-776-5900 Fax: 254-776-5921 | |
Waco Functional Medicine, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 318 Richland West Cir Ste B, Waco, TX 76712 Phone: 254-776-8009 |