| NPI | 1386427334 | 
|---|---|
| Doing Business As | WACO FAMILY MEDICINE | 
| Entity Type | Organization | 
| Authorized Contact | MATTHEW POLK COO 254-313-4412  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | 
| Enumeration Date | 2023-08-15 | 
| Last Update Date | 2023-08-15 |