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1891870242
WACO PEDIATRIC HEALTH ASSOCIATES
WACO, TX
NPI
1891870242
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Entity Type
Organization
Authorized Contact
HARVEY SPARK
Owner Pres
254-756-6836
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TX D1333)
Enumeration Date
2006-10-26
Last Update Date
2007-08-01
Business Address
WACO PEDIATRIC HEALTH ASSOCIATES
3115 PINE AVE 1006
WACO, TX 76708-3247
Phone number: 254-756-6836
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Mailing Address
WACO PEDIATRIC HEALTH ASSOCIATES
3115 PINE AVE 1006
WACO, TX 76708-3247
Phone number: 254-756-6836
Copy
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