MEDICARE: HAPPY HEALTH FUNCTIONAL MEDICINE PLLC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1508714403
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY HEALTH FUNCTIONAL MEDICINE PLLC

Provider Business Mailing Address
First Line	:	PO BOX 20216
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76702-0216
Country	:	US
Telephone Number	:	254-776-8009
Fax Number	:

Provider Business Practice Location Address
First Line	:	318 RICHLAND WEST CIR
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76712-7911
Country	:	US
Telephone Number	:	254-776-8009
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LISA KIRK
Credential	:	DO
Telephone Number	:	254-776-8009

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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