| Connally Community Clinic | |
|
715 N Rita St Waco TX 76705-1140 | |
| (254) 412-2101 | |
| (254) 412-2076 |
| Full Name | Connally Community Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 715 N Rita St, Waco, Texas |
| Authorized Official Name and Position | Allen E Patterson (CFO) |
| Authorized Official Contact | 2547508202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connally Community Clinic 1600 Providence Dr Waco TX 76707-2261 Ph: (254) 750-8200 | Connally Community Clinic 715 N Rita St Waco TX 76705-1140 Ph: (254) 412-2101 |
| NPI Number | 1326369232 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 06/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326369232 | NPI | - | NPPES |
| 092957202 | Medicaid | TX | |
| FQ0000676 | Other | TX | MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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