Waco Orthopedic Clinic

LBN: Waco Orthopedic Clinic
Waco Orthopedic Clinic is an health care organization with primary practice located at 6600 Fish Pond Rd Suite 201, Waco TX 76710-2581. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Waco Orthopedic Clinic can be contacted via phone (254) 752-9638, or through Goodnight, Jon Marc via phone (254) 752-9638.

Contact Information

Primary practice address
6600 Fish Pond Rd Suite 201 Waco TX 76710-2581
Phone: (254) 752-9638
Fax: (254) 752-2201
Website:
Map and Directions
Authorized official contact:
Name: Goodnight, Jon Marc Doctor of Medicine (MD)
Phone: (254) 752-9638

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1417020959
LBN Legal business name Waco Orthopedic Clinic
DBA Doing business as
Authorized official Goodnight, Jon Marc Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Apr 8th, 2008 - about 16 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 1417020959 NPPES
Texas MEDICAID 083305501

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