Active NPI 1225002389 Individual Practitioner Male Practitioner

Dr. Arthur Wayne Sudan , MD

Internal Medicine • Waco, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Arthur Sudan, MD is a certified Internal Medicine practicing in Waco, TX. With approximately 46 years of clinical experience since graduating from Baylor College Of Medicine in 1980, Dr. Sudan delivers high-quality medical care to the local community at 301 RICHLAND WEST CIR.

Dr. Sudan maintains professional affiliations with Providence Health Alliance, Legacy Healthcare Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

301 Richland West Cir

Waco, TX 767127932

Telephone 2545376200

Fax 2545376201

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Waco, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +26.3 yrs vs City Avg

City Avg: 19.7 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

45 Specialists

Practicing in Waco, TX (9538 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sudan (46 Years) 46 Yrs

Waco Specialty Average (19.7 Years) 19.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	3,241	37	$0.65	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	546	346	$313.23	$122.88
99213 Established patient office or other outpatient visit, typically 15 minutes	378	211	$212.55	$86.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	332	332	$338.25	$124.45
G0008 Administration of influenza virus vaccine	87	86	$69.00	$30.67
90662 Influenza vaccine split virus, preservative free	82	81	$183.00	$80.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	72	45	$73.20	$13.69
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	53	22	$120.09	$40.04
77080 Dxa bone density measurement of hip, pelvis, spine	35	35	$117.30	$36.68
71046 X-ray of chest, 2 views	34	32	$80.43	$31.82
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	26	$156.51	$51.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$126.18	$54.28
91320 Sarscv2 vac 30mcg trs-suc im	14	14	$438.00	$152.78
90480 Admn sarscov2 vacc 1 dose	14	14	$120.00	$41.37
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$49.05	$13.65
J1040 Injection, methylprednisolone acetate, 80 mg	11	11	$16.00	$9.71
81003 Automated urinalysis test	11	11	$9.24	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	574	359	$313.23	$123.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	348	348	$338.25	$126.47
99213 Established patient office or other outpatient visit, typically 15 minutes	335	208	$212.55	$87.62
90662 Influenza vaccine split virus, preservative free	116	116	$179.21	$70.54
G0008 Administration of influenza virus vaccine	116	116	$69.00	$29.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	91	52	$73.20	$13.76
J1040 Injection, methylprednisolone acetate, 80 mg	62	44	$16.00	$11.61
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	48	18	$120.09	$40.18
71046 X-ray of chest, 2 views	32	29	$80.43	$31.79
77080 Dxa bone density measurement of hip, pelvis, spine	29	29	$117.30	$34.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$126.18	$54.99
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	24	$156.51	$50.90
G0009 Administration of pneumococcal vaccine	15	15	$69.00	$29.51
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$794.00	$282.20
81003 Automated urinalysis test	13	12	$9.24	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	662	433	$313.23	$123.49
36415 Insertion of needle into vein for collection of blood sample	625	400	$9.00	$2.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	344	344	$338.25	$126.13
99213 Established patient office or other outpatient visit, typically 15 minutes	332	214	$212.55	$87.14
G0008 Administration of influenza virus vaccine	116	112	$69.00	$28.20
90662 Influenza vaccine split virus, preservative free	113	110	$95.00	$66.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	108	25	$5.00	$1.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	80	46	$73.20	$13.91
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	47	18	$120.09	$39.57
71046 X-ray of chest, 2 views	47	43	$80.43	$32.91
77080 Dxa bone density measurement of hip, pelvis, spine	42	42	$117.30	$36.03
87804 Detection test by immunoassay with direct visual observation for influenza virus	34	16	$49.32	$16.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	28	$126.18	$54.61
G0009 Administration of pneumococcal vaccine	32	32	$69.00	$28.69
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	30	27	$136.00	$41.41
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	26	$156.51	$51.15
J1040 Injection, methylprednisolone acetate, 80 mg	28	25	$16.00	$10.66
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	27	16	$316.74	$101.77
81003 Automated urinalysis test	18	16	$9.24	$2.21
93000 Routine ekg using at least 12 leads including interpretation and report	17	16	$49.05	$12.95
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$486.75	$161.85
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$794.00	$278.70
90670 Pneumococcal vaccine for injection into muscle	11	11	$462.00	$243.70
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$100.44	$39.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	754	448	$9.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	737	460	$313.23	$125.87
99213 Established patient office or other outpatient visit, typically 15 minutes	340	226	$212.55	$88.80
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	261	260	$58.40	$22.90
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	230	230	$96.26	$33.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	121	66	$73.20	$13.92
G0008 Administration of influenza virus vaccine	87	87	$69.00	$16.47
90662 Influenza vaccine split virus, preservative free	86	86	$95.00	$64.45
J1040 Injection, methylprednisolone acetate, 80 mg	59	51	$16.00	$10.64
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	59	28	$120.09	$40.18
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	51	47	$156.51	$51.86
71046 X-ray of chest, 2 views	47	43	$80.43	$32.28
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	39	23	$316.74	$103.90
0011A Adm sarscov2 100mcg/0.5ml1st	38	38	$60.08	$16.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	30	$126.18	$54.26
0012A Adm sarscov2 100mcg/0.5ml2nd	33	33	$86.06	$26.70
G0009 Administration of pneumococcal vaccine	20	20	$69.00	$16.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$338.25	$130.48
77080 Dxa bone density measurement of hip, pelvis, spine	17	17	$117.30	$37.48
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$233.62	$125.92
81003 Automated urinalysis test	13	13	$9.24	$2.25
69210 Removal of impacted ear wax	13	12	$142.80	$46.36
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$100.44	$39.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	644	414	$313.23	$106.38
36415 Insertion of needle into vein for collection of blood sample	617	383	$9.00	$2.96
99213 Established patient office or other outpatient visit, typically 15 minutes	274	194	$212.55	$73.08
G0008 Administration of influenza virus vaccine	165	161	$69.00	$16.10
90662 Influenza vaccine split virus, preservative free	161	157	$95.00	$59.88
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	78	52	$73.20	$14.03
J1040 Injection, methylprednisolone acetate, 80 mg	56	44	$16.00	$11.56
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	52	23	$120.09	$40.18
G0009 Administration of pneumococcal vaccine	35	35	$69.00	$16.17
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	26	$156.51	$52.40
71046 X-ray of chest, 2 views	26	25	$80.43	$31.88
69210 Removal of impacted ear wax	20	19	$150.35	$47.17
90670 Pneumococcal vaccine for injection into muscle	20	20	$462.00	$215.66
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	19	12	$316.74	$105.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$338.25	$107.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$126.18	$44.62
77080 Dxa bone density measurement of hip, pelvis, spine	17	17	$117.30	$38.40
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$233.62	$118.92
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$100.44	$37.02
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$49.05	$16.69
73562 X-ray of knee, 3 views	12	12	$102.15	$38.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$478.83	$162.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	751	431	$313.23	$104.71
36415 Insertion of needle into vein for collection of blood sample	655	406	$9.00	$2.92
99213 Established patient office or other outpatient visit, typically 15 minutes	458	273	$212.55	$71.24
G0008 Administration of influenza virus vaccine	155	155	$69.00	$15.90
90662 Influenza vaccine split virus, preservative free	132	132	$95.00	$54.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	115	66	$73.20	$16.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	105	105	$338.25	$111.89
J1040 Injection, methylprednisolone acetate, 80 mg	86	63	$16.00	$12.18
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	66	24	$120.09	$39.56
71046 X-ray of chest, 2 views	66	60	$80.43	$30.16
G0009 Administration of pneumococcal vaccine	61	61	$69.00	$15.90
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	58	27	$316.74	$104.66
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	49	49	$233.62	$108.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	42	40	$156.51	$51.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	29	$126.18	$43.31
90682 Influenza vaccine, quadrivalent derived from recombinant dna	23	23	$64.00	$50.12
77080 Dxa bone density measurement of hip, pelvis, spine	22	22	$117.30	$37.92
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$49.05	$16.35
69210 Removal of impacted ear wax	19	19	$166.64	$45.87
72100 X-ray of lower and sacral spine, 2-3 views	19	18	$100.44	$34.86
87804 Detection test by immunoassay with direct visual observation for influenza virus	15	13	$49.32	$16.22
90670 Pneumococcal vaccine for injection into muscle	14	14	$462.00	$193.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$478.83	$160.01
81003 Automated urinalysis test	11	11	$9.24	$2.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	815	450	$313.23	$102.95
36415 Insertion of needle into vein for collection of blood sample	759	428	$9.00	$2.92
99213 Established patient office or other outpatient visit, typically 15 minutes	429	264	$212.55	$69.59
G0008 Administration of influenza virus vaccine	204	202	$69.00	$19.51
90653 Vaccine for influenza for injection into muscle	135	135	$30.00	$29.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	125	125	$338.25	$112.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	115	73	$73.20	$19.65
G0009 Administration of pneumococcal vaccine	108	107	$69.00	$19.51
J1040 Injection, methylprednisolone acetate, 80 mg	94	71	$16.00	$12.98
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	80	80	$233.62	$105.59
90662 Influenza vaccine split virus, preservative free	63	63	$95.00	$52.30
71046 X-ray of chest, 2 views	60	52	$80.43	$28.64
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	55	30	$120.09	$40.10
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	41	38	$156.51	$51.20
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	37	19	$316.74	$104.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	29	$126.18	$42.23
90670 Pneumococcal vaccine for injection into muscle	27	27	$462.00	$196.03
77080 Dxa bone density measurement of hip, pelvis, spine	26	26	$117.30	$39.72
G0444 Annual depression screening, 5 to 15 minutes	24	24	$12.00	$11.76
93000 Routine ekg using at least 12 leads including interpretation and report	22	21	$49.05	$16.25
69210 Removal of impacted ear wax	16	16	$142.80	$47.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	939	509	$234.83	$102.05
36415 Insertion of needle into vein for collection of blood sample	815	479	$10.42	$2.91
99213 Established patient office or other outpatient visit, typically 15 minutes	462	302	$163.25	$69.51
G0008 Administration of influenza virus vaccine	251	247	$66.63	$23.84
90653 Vaccine for influenza for injection into muscle	231	231	$30.00	$29.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	196	196	$268.67	$109.36
G0009 Administration of pneumococcal vaccine	194	193	$45.60	$23.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	147	75	$58.86	$24.10
90670 Pneumococcal vaccine for injection into muscle	132	132	$387.35	$178.82
J1040 Injection, methylprednisolone acetate, 80 mg	89	65	$20.03	$10.87
71020 X-ray of chest, 2 views, front and side	81	71	$80.35	$26.45
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	78	41	$91.49	$39.49
77080 Dxa bone density measurement of hip, pelvis, spine	68	68	$148.11	$37.89
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	65	65	$193.05	$89.35
G0444 Annual depression screening, 5 to 15 minutes	46	46	$12.00	$11.76
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	45	39	$119.09	$50.80
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	35	24	$279.47	$103.89
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	33	11	$207.22	$88.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	26	$104.00	$41.51
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$42.64	$16.12
69210 Removal of impacted ear wax	18	18	$124.93	$45.17
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	15	15	$53.78	$21.38
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$96.71	$33.01
80061 Blood test, lipids (cholesterol and triglycerides)	14	14	$64.01	$15.10
90662 Influenza vaccine split virus, preservative free	13	13	$49.57	$41.87
81003 Automated urinalysis test	12	12	$16.59	$3.02

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX F8332

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

123199505 (TX)

Medicaid State Provider ID

123199503 (TX)

Hospital & Practice Group Affiliations

Providence Health Alliance

301 Richland W Cir, Waco, TX 767127932

Phone: 2545376200

Legacy Healthcare Services Inc

5400 Laurel Lake Dr, Waco, TX 767102835

Phone: 2543996633

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Sabine Roman , MD

Internal Medicine

NPI 1043714520

Doctor of Medicine (M.D.)

Dr. James Copeland , MD

Internal Medicine

NPI 1174597348

Doctor of Medicine (M.D.)

Dr. Jose Najera-Flores , MD

Internal Medicine

NPI 1346488368

Doctor of Medicine (M.D.)

Dr. Jerod Patchin , DO

Internal Medicine

NPI 1386957769

Doctor of Osteopathic Medicine (D.O.)

Kelly Mccarver , FNP

Nurse Practitioner - Family

NPI 1760015580

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 23, 2015

Registered at 301 RICHLAND WEST CIR, WACO, TX 767127932 (Tel: 2545376200)

📍

Updated Business Mailing Address September 23, 2015

Registered at 301 RICHLAND WEST CIR, WACO, TX 767127932 (Tel: 2545376200)

👤

Provider Name / Credentials Updated September 23, 2015

Recorded as ARTHUR SUDAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2015

Internal Medicine (License #F8332 in TX)

🟢

Initial NPI Registration & Enumeration February 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1225002389

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 15, 2006

Last Update: September 23, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

301 Richland West Cir

Waco, TX 767127932

Phone: 2545376200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.