Waco Primary Care, P.a. | |
7100 Old Mcgregor Rd Waco TX 76712-6120 | |
(254) 399-6545 | |
(254) 399-6558 |
Full Name | Waco Primary Care, P.a. |
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Speciality | Family Medicine |
Location | 7100 Old Mcgregor Rd, Waco, Texas |
Authorized Official Name and Position | Karl Trippe (PHYSICIAN/OWNER) |
Authorized Official Contact | 2543996545 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Waco Primary Care, P.a. 7100 Old Mcgregor Rd Waco TX 76712-6120 Ph: (254) 399-6545 | Waco Primary Care, P.a. 7100 Old Mcgregor Rd Waco TX 76712-6120 Ph: (254) 399-6545 |
NPI Number | 1245528249 |
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Provider Enumeration Date | 07/12/2011 |
Last Update Date | 03/23/2023 |
Medicare PECOS PAC ID | 4789856204 |
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Medicare Enrollment ID | O20111005000698 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245528249 | NPI | - | NPPES |
285856501 | Medicaid | TX | |
285856502 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K3028 (Texas) | Primary |
Provider Name | Karl M Trippe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285615674 PECOS PAC ID: 0547239220 Enrollment ID: I20100630000510 |
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