Wic, Ltd.

NPI 1508954892 - Clinic/Center - 261QM1200X

NPI Details
NPI 1508954892
Enumeration Date 10/11/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOHN S. JOHN
Position MANAGER
Phone (254) 772-5612
Fax (254) 772-5617
Practice Location
105 OLD HEWITT RD
200
WACO TX, 76712-6549, US
Phone (254) 772-5612
Fax (254) 772-5617
Business Location
105 OLD HEWITT RD
200
WACO TX, 76712-6549, US
Phone (254) 772-5612
Fax (254) 772-5617
Toxanomy
Taxonomy Code 261QM1200X
License State
License Number
Remove 1508954892 NPI Number
 

According to our database, Wic, Ltd. NPI is 1508954892, taxonomy code is 261QM1200X Wic, Ltd. physically located at 105 Old Hewitt Rd, Waco TX, 76712-6549. NPI Number 1033115704 has the healthcare provider type.

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1508954892 NPI number is provided on an as is basis without warranty of any kind. 1508954892 is maintained by the National Plan & Provider Enumeration System. The contents of Wic, Ltd. are for informational purposes only.