MEDICARE: WPC HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	291U00000X	Clinical Medical Laboratory
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	3336C0004X	Compounding Pharmacy
4	261QS1200X	Sleep Disorder Diagnostic Clinic/Center
5	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1497110308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WPC HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	4816 EAGLE FEATHER DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78735-6471
Country	:	US
Telephone Number	:	737-202-7102
Fax Number	:

Provider Business Practice Location Address
First Line	:	4816 EAGLE FEATHER DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78735-6471
Country	:	US
Telephone Number	:	737-202-7102
Fax Number	:

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	MR. WILLIAM PATRICK CROUCH
Credential	:
Telephone Number	:	737-202-7102

Provider Enumeration Date	:	12/18/2015
Last Update Date	:	07/13/2016

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Directions to “WPC HEALTHCARE LLC ” Practice Location

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