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HEART OF TEXAS COMMUNITY HEALTH CENTER INC NPI 1528389434


NPI Information

NPI: 1528389434
Provider Name: HEART OF TEXAS COMMUNITY HEALTH CENTER, INC

Doing Business As: RIVERSIDE DENTAL CLINIC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
225 W WACO DR
WACO, TX
ZIP 76707
Phone: (254) 750-5487
Get Directions

HEART OF TEXAS COMMUNITY HEALTH CENTER, INC is a general practice dentist in Waco, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. HEART OF TEXAS COMMUNITY HEALTH CENTER, INC NPI is 1528389434. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Riverside Dental Clinic.

The provider's business location address is:

225 W WACO DR
WACO, TX
ZIP 76707-836
Phone: (254) 750-5487

The provider's authorized official is Allen E Patterson .
The authorized official title is Cfo and has the following contact phone number (254) 750-8202.

The enumeration date for this NPI number is 6/15/2010 and was last updated on 6/15/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1671873MEDICARE OSCAR/CERTIFICATIONTEXAS
2FQ0000676OTHERTEXASMEDICAID
3092957202MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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