| Waco Functional Medicine, Pa | |
|
318 Richland West Cir Ste B Waco TX 76712-7919 | |
| (254) 776-8009 | |
| Not Available |
| Full Name | Waco Functional Medicine, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 318 Richland West Cir Ste B, Waco, Texas |
| Authorized Official Name and Position | Lisa J Kirk (OWNER) |
| Authorized Official Contact | 2547768009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waco Functional Medicine, Pa 318 Richland West Cir Ste B Waco TX 76712-7919 Ph: (254) 776-8009 | Waco Functional Medicine, Pa 318 Richland West Cir Ste B Waco TX 76712-7919 Ph: (254) 776-8009 |
| NPI Number | 1093016826 |
|---|---|
| Provider Enumeration Date | 11/10/2010 |
| Last Update Date | 11/10/2010 |
| Medicare PECOS PAC ID | 0244416162 |
|---|---|
| Medicare Enrollment ID | O20110510000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093016826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K3775 (Texas) | Primary |
| Provider Name | Trevor T Kraus |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1144263187 PECOS PAC ID: 8426056680 Enrollment ID: I20061122000176 |
| Provider Name | Helen J Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831208073 PECOS PAC ID: 4183725591 Enrollment ID: I20070728000092 |
| Provider Name | Shelly J Culver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881827822 PECOS PAC ID: 4183751175 Enrollment ID: I20100422001011 |
| Provider Name | Lisa Johnson Kirk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578562146 PECOS PAC ID: 8123017308 Enrollment ID: I20100921000573 |
| Provider Name | Natalie N Fontenot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508467515 PECOS PAC ID: 0446661946 Enrollment ID: I20201203002310 |
| Provider Name | Rachel Fahlenkamp Warapius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356094072 PECOS PAC ID: 0446635544 Enrollment ID: I20220909001009 |
| Provider Name | Laura Michelle Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780429894 PECOS PAC ID: 9234660309 Enrollment ID: I20240930002721 |
Waco Infectious Disease Associates P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7030 New Sanger Ave, Ste 202, Waco, TX 76712 Phone: 254-741-1860 Fax: 254-741-1249 | |
Cancer And Blood Specialists Of Texas, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3420 Pine Ave, Waco, TX 76708 Phone: 254-752-2900 Fax: 254-752-2902 | |
Careconnect Medical Group P.l.l.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Lake Shore Dr Apt 121, Waco, TX 76708 Phone: 254-498-6671 | |
Open Arms Healthcare Of Texas Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1437 S. Valley Mills Drive, Waco, TX 76711 Phone: 254-221-1901 Fax: 254-221-1909 | |
Mark H. Dickie, Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 782 Dry Creek Rd, Waco, TX 76705 Phone: 254-870-4417 Fax: 254-230-4493 | |
Slsp Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 W Hwy 6, Suite 108, Waco, TX 76710 Phone: 254-776-5900 Fax: 254-776-5921 |