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
Fax: (866) 426-2198
Website:
Authorized official contact:
Name: Wilson, Tracy

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932413366 NPPES
Other 5900572 NCPDP PROVIDER IDENTIFICATION NUMBER

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