Unknown Individual – Emergency Medicine Physician, NPI 1720142821
Emergency Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Ascension Providence, 6901, Medical Parkway, Waco, McLennan County, Texas, 76712, United States
PROVIDENCE ED
WACO, TX 76712
Phone: (254) 751-4180
Fax: (254) 420-1668
Type: Location
Riverview Road, Woodway, McLennan County, Texas, 76712, United States
WOODWAY, TX 767127607
Phone:
Type: Mailing
2490 Fm 2920 Rd
Spring, TX 773883417
Phone: (281) 353-0911
Type: Location
6901 Medical Parkway
Providence ED
Waco, TX 76712
Phone: (254) 751-4180
Fax: (254) 420-1668
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76712)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | AL | |
| - | TX | |
| - | TX | |
| Emergency Medicine | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX |
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