NPI | 1992685218 |
---|---|
Other Name | WACO FAMILY MEDICINE - TEMPLE DOWNTOWN |
Entity Type | Organization |
Authorized Contact | MATTHEW POLK Chief Operating Officer 254-313-4412 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2025-09-05 |
Last Update Date | 2025-09-05 |