| Ascension Providence Depaul Center | |
|
301 Londonderry Dr Waco TX 76712-7915 | |
| (254) 751-4146 | |
| (254) 751-4283 |
| Full Name | Ascension Providence Depaul Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 301 Londonderry Dr, Waco, Texas |
| Authorized Official Name and Position | Philip Patterson (ADMINISTRATOR) |
| Authorized Official Contact | 2547514766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Providence Depaul Center Po Box 206121 Dallas TX 75320-6121 Ph: (254) 751-4146 | Ascension Providence Depaul Center 301 Londonderry Dr Waco TX 76712-7915 Ph: (254) 751-4146 |
| NPI Number | 1730406265 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 12/27/2021 |
| Certification Date | 12/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730406265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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