| Waco Integrated Medical Pllc | |
|
8300 Old Mcgregor Rd Ste 2a Woodway TX 76712-3600 | |
| (254) 537-1064 | |
| (254) 537-1092 |
| Full Name | Waco Integrated Medical Pllc |
|---|---|
| Speciality | General Practice |
| Location | 8300 Old Mcgregor Rd Ste 2a, Woodway, Texas |
| Authorized Official Name and Position | Rita J Dempsey (OFFICE MANAGER) |
| Authorized Official Contact | 2545371064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waco Integrated Medical Pllc 8300 Old Mcgregor Rd Ste 2a Woodway TX 76712-3600 Ph: (254) 537-1064 | Waco Integrated Medical Pllc 8300 Old Mcgregor Rd Ste 2a Woodway TX 76712-3600 Ph: (254) 537-1064 |
| NPI Number | 1205397965 |
|---|---|
| Provider Enumeration Date | 03/26/2019 |
| Last Update Date | 03/26/2019 |
| Medicare PECOS PAC ID | 3274863808 |
|---|---|
| Medicare Enrollment ID | O20190925001552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205397965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Britton R Myers |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700926839 PECOS PAC ID: 6406831569 Enrollment ID: I20040622001539 |
| Provider Name | Ronald M George |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023454550 PECOS PAC ID: 2668615972 Enrollment ID: I20130905000055 |
| Provider Name | Marci E Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447759667 PECOS PAC ID: 9830454735 Enrollment ID: I20180524000306 |
| Provider Name | Adam L Jester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982027280 PECOS PAC ID: 9335364314 Enrollment ID: I20190502000721 |
| Provider Name | Misty Lyon Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538714050 PECOS PAC ID: 2961834841 Enrollment ID: I20191114001206 |
| Provider Name | Rachel Spicer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518504141 PECOS PAC ID: 4880022805 Enrollment ID: I20200325000365 |
| Provider Name | Christopher Mark Taylor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861025983 PECOS PAC ID: 6305275371 Enrollment ID: I20200326003939 |
| Provider Name | Andrew T Yakubik |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205453685 PECOS PAC ID: 7416374723 Enrollment ID: I20200901003028 |
| Provider Name | Charity J Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376159327 PECOS PAC ID: 5890106074 Enrollment ID: I20201118002695 |
| Provider Name | Dirk B Lindley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376133884 PECOS PAC ID: 6507272804 Enrollment ID: I20210311001254 |
| Provider Name | Daniel C Caraway |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710643150 PECOS PAC ID: 2062802101 Enrollment ID: I20211206000454 |
| Provider Name | Jonathon H Reich |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962076646 PECOS PAC ID: 0143613349 Enrollment ID: I20220211000205 |
| Provider Name | Camerin Dyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679226617 PECOS PAC ID: 0941687131 Enrollment ID: I20220509001464 |
| Provider Name | Skylar D Hutcherson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114678208 PECOS PAC ID: 3577940576 Enrollment ID: I20220512001751 |
| Provider Name | Amy N Hajek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730778564 PECOS PAC ID: 2668887274 Enrollment ID: I20220708000030 |
| Provider Name | Katherine E Lee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124755418 PECOS PAC ID: 1951787704 Enrollment ID: I20220930001285 |
| Provider Name | Eric Ng Wu |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235489568 PECOS PAC ID: 7315312873 Enrollment ID: I20230414000781 |
| Provider Name | Paul S Hodnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629784434 PECOS PAC ID: 0840658712 Enrollment ID: I20230626000298 |
| Provider Name | Michael B Bauer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801585781 PECOS PAC ID: 3678933231 Enrollment ID: I20230714002200 |
| Provider Name | Colton D Wostenberg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1073391801 PECOS PAC ID: 3274974753 Enrollment ID: I20240515001439 |
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