| Mclennan Community College | |
|
1400 College Dr Waco TX 76708-1402 | |
| (972) 367-4845 | |
| Not Available |
| Full Name | Mclennan Community College |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 1400 College Dr, Waco, Texas |
| Authorized Official Name and Position | Mouzon Bass (ADMINISTRATOR/AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mclennan Community College 15305 Dallas Pkwy Ste 800 Addison TX 75001-6415 Ph: (972) 367-4845 | Mclennan Community College 1400 College Dr Waco TX 76708-1402 Ph: (972) 367-4845 |
| NPI Number | 1124701412 |
|---|---|
| Provider Enumeration Date | 08/11/2023 |
| Last Update Date | 08/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124701412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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