Providerx Of Waco
LBN: Providerx Of Waco Llc
Providerx Of Waco is an health care organization with primary practice located at 1404 S New Rd Ste 200 , Waco TX 76711-1335. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Providerx Of Waco Llc can be contacted via phone (254) 523-4596, or through Wilson, Tracy via phone (817) 310-5554.
Contact Information
Primary practice address
1404 S New Rd Ste 200
Waco TX 76711-1335
Phone: (254) 523-4596
Fax: (866) 426-2198
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Long Term Care Pharmacy | 3336L0003X | 26988 | Texas |
Profile Details
NPI number | 1932413366 |
---|---|
LBN Legal business name | Providerx Of Waco Llc |
DBA Doing business as | Providerx Of Waco |
Authorized official | Wilson, Tracy |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 27th, 2010 |
Last updated | Dec 19th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932413366 | NPPES |
Other | 5900572 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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