| Heart Of Texas Mental Health Mental Retardation Center | |
|
110 S 12th St Waco TX 76701-1810 | |
| (254) 752-3451 | |
| (254) 756-3133 |
| Full Name | Heart Of Texas Mental Health Mental Retardation Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 110 S 12th St, Waco, Texas |
| Authorized Official Name and Position | Daniel Thompson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2547523451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Of Texas Mental Health Mental Retardation Center Po Box 890 Waco TX 76703-0890 Ph: (254) 752-3451 | Heart Of Texas Mental Health Mental Retardation Center 110 S 12th St Waco TX 76701-1810 Ph: (254) 752-3451 |
| NPI Number | 1629102983 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 03/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629102983 | NPI | - | NPPES |
| 084859002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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