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NPI Code Detail

MEDICARE: HILLCREST FAMILY HEALTH CENTER

MEDICARE: HILLCREST FAMILY HEALTH CENTER
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
1207L00000XAnesthesiology Physician
2207N00000XDermatology Physician
3207P00000XEmergency Medicine Physician
4207R00000XInternal Medicine Physician
5207V00000XObstetrics & Gynecology Physician
6207W00000XOphthalmology Physician
7207X00000XOrthopaedic Surgery Physician
8207Y00000XOtolaryngology Physician
9208000000XPediatrics Physician
10208200000XPlastic Surgery Physician
112084P0800XPsychiatry Physician
122085R0202XDiagnostic Radiology Physician
13208600000XSurgery Physician
14213E00000XPodiatrist
15207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891796694
Entity Type Code : Organization
Provider Name (Legal Business Name) : HILLCREST FAMILY HEALTH CENTER
Provider Business Mailing Address
First Line : PO BOX 848476
Second Line :
City : DALLAS
State : TX
Zip : 75284-8476
Country : US
Telephone Number : 254-202-4660
Fax Number :
Provider Business Practice Location Address
First Line : 7300 BOSQUE BLVD
Second Line :
City : WACO
State : TX
Zip : 76710-4023
Country : US
Telephone Number : 254-202-2600
Fax Number :
Authorized Official
Title or Position : CFO
Name : SHELLIE MACH
Credential :
Telephone Number : 254-202-9450
Provider Enumeration Date : 08/03/2005
Last Update Date : 03/21/2024

Similar Medicare Providers

1265242325 — KRISTIN BRYANT MS, RDN, LD
Practice Location Address:
7300 BOSQUE BLVD
WACO, TX
76710-4023
Practice Phone: 254-231-8816
Practice Fax:
1154393890 — DR. ELIZABETH BLEVINS TURNAGE MD
Practice Location Address:
7300 BOSQUE BLVD
WACO, TX
76710-4023
Practice Phone: 254-202-2600
Practice Fax: 254-202-2650
1396712691 — DR. JENNY SNOW CARL MD
Practice Location Address:
7300 BOSQUE BLVD
WACO, TX
76710-4023
Practice Phone: 254-202-2600
Practice Fax:
1922075225 — DR. LEIGHTON HENRY CARL MD
Practice Location Address:
7300 BOSQUE BLVD
WACO, TX
76710-4023
Practice Phone: 254-202-2600
Practice Fax: 254-202-2650
1649360421 — DR. KYLE L HULME MD
Practice Location Address:
7300 BOSQUE BLVD
WACO, TX
76710-4023
Practice Phone: 254-202-2600
Practice Fax: 254-202-2650
1033306303 — KANDACE MARIE BULLAJIAN RN, MSN, FNP-BC
Practice Location Address:
7300 BOSQUE BLVD
WACO, TX
76710-4023
Practice Phone: 254-202-2600
Practice Fax: 254-202-2650

Directions to “HILLCREST FAMILY HEALTH CENTER ” Practice Location

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