| Ccpcs | |
|
305 Londonderry Dr Ste 7 Waco TX 76712-7906 | |
| (254) 776-7792 | |
| (254) 776-0577 |
| Full Name | Ccpcs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 305 Londonderry Dr Ste 7, Waco, Texas |
| Authorized Official Name and Position | Tamara Lynn Hodges (PSYCHOLOGIST) |
| Authorized Official Contact | 2547767792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccpcs 305 Londonderry Dr Ste 7 Waco TX 76712-7906 Ph: (254) 776-7792 | Ccpcs 305 Londonderry Dr Ste 7 Waco TX 76712-7906 Ph: (254) 776-7792 |
| NPI Number | 1164756565 |
|---|---|
| Provider Enumeration Date | 10/01/2009 |
| Last Update Date | 10/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164756565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2-5171 (Texas) | Primary |
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