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NPI Code Detail

MEDICARE: WAYMAKER HEALTH LLC

MEDICARE: WAYMAKER HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QG0300XGeriatric Medicine (Family Medicine) Physician
2251E00000XHome Health Agency
3163WH1000XHospice Registered Nurse
4261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1235916966
Entity Type Code : Organization
Provider Name (Legal Business Name) : WAYMAKER HEALTH LLC
Provider Business Mailing Address
First Line : 2831 ELDORADO PKWY # 103-322
Second Line :
City : FRISCO
State : TX
Zip : 75033-7438
Country : US
Telephone Number : 214-494-0217
Fax Number : 214-591-6966
Provider Business Practice Location Address
First Line : 1400 N COIT RD STE 302
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-6656
Country : US
Telephone Number : 214-494-0217
Fax Number :
Authorized Official
Title or Position : CEO
Name : VICTORIA SALAU
Credential : NP
Telephone Number : 214-494-0217
Provider Enumeration Date : 09/14/2023
Last Update Date : 02/02/2026

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Directions to “WAYMAKER HEALTH LLC ” Practice Location

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