| MW Wellness IV, LLC | |
|
611 W Hwy 6 Suite 108 Waco TX 76710-7544 | |
| (254) 741-8686 | |
| (254) 741-8687 |
| Full Name | MW Wellness IV, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 611 W Hwy 6, Waco, Texas |
| Authorized Official Name and Position | Wendie Nonclerc (DIRECTOR OF INSURANCE DEVELOPMENT) |
| Authorized Official Contact | 8132286334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| MW Wellness IV, LLC 611 W Hwy 6 Suite 108 Waco TX 76710-7544 Ph: (254) 741-8686 | MW Wellness IV, LLC 611 W Hwy 6 Suite 108 Waco TX 76710-7544 Ph: (254) 741-8686 |
| NPI Number | 1518405737 |
|---|---|
| Provider Enumeration Date | 02/08/2017 |
| Last Update Date | 02/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518405737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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