Active NPI 1316155443 Individual Practitioner Male Practitioner

Dr. Ivan G Castillo-Salazar , MD

Ophthalmology • Waco, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ivan Castillo-Salazar, MD is a certified Ophthalmology practicing in Waco, TX. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Castillo-Salazar delivers high-quality medical care to the local community at 7030 NEW SANGER RD STE 102.

Dr. Castillo-Salazar is affiliated with Texas Retina Associates and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, injection, avacincaptad pegol, 0.1 mg, injection, aflibercept hd, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7030 New Sanger Rd Ste 102

Waco, TX 767124073

Telephone 2547537007

Fax 2547535225

Associated Practice Facility / Clinic

🏢 Texas Retina Associates Facility NPI 1629010376

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Waco, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +5.5 yrs vs City Avg

City Avg: 32.5 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

19 Specialists

Practicing in Waco, TX (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Castillo-Salazar (38 Years) 38 Yrs

Waco Specialty Average (32.5 Years) 32.5 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
J2777 Injection, faricimab-svoa, 0.1 mg	37,143	78	$83.33	$34.68
J2782 Injection, avacincaptad pegol, 0.1 mg	5,761	51	$249.96	$108.73
J0177 Injection, aflibercept hd, 1 mg	3,969	166	$799.80	$328.88
92134 Imaging of retina	3,897	1,193	$99.93	$40.03
J0178 Injection, aflibercept, 1 mg	3,734	339	$2248.79	$823.90
92014 Established patient complete exam of visual system	3,606	1,095	$200.00	$125.58
J3299 Injection, triamcinolone acetonide (xipere), 1 mg	2,700	39	$115.00	$47.75
67028 Injection of drug into eye	2,482	493	$1310.84	$138.69
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	585	18	$500.00	$236.02
92235 Exam of retinal blood vessels using a special camera after injection of a dye	382	305	$285.00	$160.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	253	253	$280.00	$167.35
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	212	19	$424.54	$200.40
92012 Established patient problem focused exam of visual system	171	124	$200.00	$89.42
92250 Photography of the retina	137	115	$165.00	$37.00
J3490 Unclassified drugs	94	45	$5408.51	$2298.21
67516 Injection of drug into the space between the cornea and retina in the eye	72	37	$900.00	$120.51
76510 Ultrasound of eye tissue and structures	66	49	$400.00	$66.25
67145 Photocoagulation treatment to prevent detachment of retina	48	46	$1656.25	$253.15
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	43	35	$3488.37	$468.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$170.00	$129.88
76512 Ultrasound of eye disease, growth, or structure	35	25	$305.00	$48.02
J7999 Compounded drug, not otherwise classified	32	15	$182.81	$101.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$350.00	$223.11
67108 Repair of detached retina and drainage of eye fluid between lens and retina	18	15	$6000.00	$1145.75
92083 Exam of visual field with extended testing	18	16	$150.00	$63.58
67036 Removal of eye fluid (vitreous) between the lens and retina	14	13	$4000.00	$859.46
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	12	12	$5700.00	$1144.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$280.00	$113.52
67210 Laser destruction of retinal growth, 1 or more sessions	11	11	$1909.09	$587.97
67041 Removal of membrane from the retina	11	11	$5500.00	$1142.52
67040 Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser	11	11	$5000.00	$1006.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	14,880	45	$80.99	$35.05
J0178 Injection, aflibercept, 1 mg	4,596	393	$2245.10	$867.18
92134 Imaging of retina	3,587	1,136	$99.94	$38.90
67028 Injection of drug into eye	2,116	474	$1283.22	$133.00
92014 Established patient complete exam of visual system	2,012	906	$200.00	$122.96
92012 Established patient problem focused exam of visual system	1,463	728	$200.00	$87.19
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	694	28	$500.00	$273.15
J3299 Injection, triamcinolone acetonide (xipere), 1 mg	612	12	$115.00	$47.78
92235 Exam of retinal blood vessels using a special camera after injection of a dye	398	296	$285.00	$133.10
J2778 Injection, ranibizumab, 0.1 mg	385	15	$500.00	$233.50
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	360	20	$333.34	$151.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	253	253	$280.00	$161.82
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	245	24	$416.33	$188.53
92250 Photography of the retina	98	76	$165.00	$36.04
76510 Ultrasound of eye tissue and structures	68	50	$400.00	$64.41
J3490 Unclassified drugs	52	24	$5288.46	$2278.67
J7999 Compounded drug, not otherwise classified	51	21	$202.94	$104.96
J9035 Injection, bevacizumab, 10 mg	37	24	$150.00	$69.72
76512 Ultrasound of eye disease, growth, or structure	35	29	$305.00	$45.88
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	33	24	$3454.55	$447.96
92083 Exam of visual field with extended testing	32	23	$150.00	$60.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$350.00	$214.27
67145 Photocoagulation treatment to prevent detachment of retina	25	25	$1740.00	$248.80
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	18	12	$25.00	$1.05
67210 Laser destruction of retinal growth, 1 or more sessions	16	16	$2531.25	$669.67
J3590 Unclassified biologics	16	11	$3281.25	$1654.95
67036 Removal of eye fluid (vitreous) between the lens and retina	15	13	$4000.00	$685.80
0465T Injection of medication into space above choroid membrane of eye	15	12	$900.00	$109.83
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	12	12	$5700.00	$1101.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$170.00	$124.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	5,178	395	$2247.39	$893.29
92134 Imaging of retina	3,911	1,125	$99.95	$39.16
67028 Injection of drug into eye	2,461	499	$1276.31	$132.16
92012 Established patient problem focused exam of visual system	2,455	780	$175.67	$86.87
92014 Established patient complete exam of visual system	1,361	769	$200.00	$124.28
J2778 Injection, ranibizumab, 0.1 mg	1,269	35	$496.06	$279.15
J9035 Injection, bevacizumab, 10 mg	523	160	$150.00	$67.11
92235 Exam of retinal blood vessels using a special camera after injection of a dye	447	348	$285.00	$122.68
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	315	29	$380.96	$176.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	247	247	$280.00	$162.31
92250 Photography of the retina	153	113	$165.00	$35.94
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	56	52	$615.00	$245.23
76510 Ultrasound of eye tissue and structures	56	41	$400.00	$64.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	44	21	$25.00	$1.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$170.00	$125.21
76512 Ultrasound of eye disease, growth, or structure	33	28	$305.00	$46.41
67145 Photocoagulation treatment to prevent detachment of retina	32	31	$1884.38	$268.45
67515 Injection of medication or substance into membrane covering eyeball	30	18	$185.67	$55.61
92083 Exam of visual field with extended testing	24	21	$150.00	$61.23
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	24	20	$3416.67	$429.71
67041 Removal of membrane from the retina	12	12	$5500.00	$1072.98
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	11	11	$5700.00	$1100.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	3,907	1,119	$99.89	$39.85
J0178 Injection, aflibercept, 1 mg	3,333	274	$2250.00	$916.15
92014 Established patient complete exam of visual system	2,259	856	$200.00	$125.45
67028 Injection of drug into eye	2,219	476	$1254.16	$133.86
J2778 Injection, ranibizumab, 0.1 mg	1,783	54	$499.16	$314.22
92012 Established patient problem focused exam of visual system	1,027	520	$135.00	$88.58
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg	960	14	$8.75	$3.87
J9035 Injection, bevacizumab, 10 mg	938	214	$150.00	$71.95
92235 Exam of retinal blood vessels using a special camera after injection of a dye	590	444	$285.00	$115.81
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	455	41	$402.21	$181.46
92202 Extended exam of the back part of the eye with optic nerve drawing	375	337	$105.00	$15.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	291	291	$280.00	$163.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	258	253	$170.00	$127.30
99213 Established patient office or other outpatient visit, typically 15 minutes	220	211	$110.00	$89.99
92250 Photography of the retina	165	130	$164.01	$38.33
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	120	109	$615.00	$247.97
76510 Ultrasound of eye tissue and structures	72	54	$400.00	$67.73
76512 Ultrasound of eye disease, growth, or structure	70	46	$300.71	$48.05
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	65	14	$25.00	$1.32
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	34	24	$2941.18	$410.16
67210 Laser destruction of retinal growth, 1 or more sessions	34	33	$2161.76	$608.65
67145 Photocoagulation treatment to prevent detachment of retina	29	28	$1706.90	$550.66
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	23	22	$5700.00	$1123.61
92083 Exam of visual field with extended testing	21	18	$150.00	$62.51
67515 Injection of medication or substance into membrane covering eyeball	20	17	$178.25	$47.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$350.00	$218.40
92201 Extended exam of the back part of the eye with retinal drawing	17	17	$105.00	$23.68
67108 Repair of detached retina and drainage of eye fluid between lens and retina	16	14	$6000.00	$1081.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	3,654	281	$2243.84	$926.43
92014 Established patient complete exam of visual system	3,173	889	$200.00	$124.06
92134 Imaging of retina	2,973	955	$99.95	$39.68
92202 Extended exam of the back part of the eye with optic nerve drawing	2,701	956	$105.08	$15.88
67028 Injection of drug into eye	2,367	489	$1263.50	$119.83
J2778 Injection, ranibizumab, 0.1 mg	2,272	81	$497.14	$333.56
92250 Photography of the retina	1,386	748	$164.94	$43.16
J9035 Injection, bevacizumab, 10 mg	888	208	$150.00	$77.62
92012 Established patient problem focused exam of visual system	713	458	$135.00	$85.99
92235 Exam of retinal blood vessels using a special camera after injection of a dye	619	467	$284.70	$101.91
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	406	32	$428.58	$198.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	242	213	$170.00	$106.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	226	226	$280.00	$160.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	108	18	$25.00	$1.46
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	78	74	$615.00	$232.73
76512 Ultrasound of eye disease, growth, or structure	76	49	$309.01	$50.08
76510 Ultrasound of eye tissue and structures	73	51	$400.00	$82.48
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	53	37	$3094.34	$424.50
67145 Photocoagulation treatment to prevent detachment of retina	38	36	$1657.89	$528.51
92083 Exam of visual field with extended testing	27	24	$150.00	$62.08
67210 Laser destruction of retinal growth, 1 or more sessions	23	22	$2086.96	$600.58
92201 Extended exam of the back part of the eye with retinal drawing	22	22	$105.00	$24.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$200.00	$102.46
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	16	15	$5700.00	$1120.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	4,286	1,096	$165.00	$47.85
J2778 Injection, ranibizumab, 0.1 mg	3,716	124	$493.54	$349.27
J0178 Injection, aflibercept, 1 mg	3,388	247	$2230.08	$926.30
92012 Established patient problem focused exam of visual system	3,101	905	$135.00	$85.44
67028 Injection of drug into eye	2,615	480	$1235.22	$118.05
92014 Established patient complete exam of visual system	1,319	716	$200.00	$123.10
J9035 Injection, bevacizumab, 10 mg	940	203	$150.00	$79.13
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg	920	20	$8.75	$3.79
92235 Exam of retinal blood vessels using a special camera after injection of a dye	837	618	$285.00	$88.58
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	659	52	$428.58	$196.83
92134 Imaging of retina	470	334	$100.00	$38.74
92225 Examination of eye by ophthalmoscope with retinal drawing	328	173	$105.32	$27.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	283	283	$280.00	$160.29
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	198	163	$615.00	$221.82
76512 Ultrasound of eye disease, growth, or structure	98	60	$305.00	$56.20
76510 Ultrasound of eye tissue and structures	85	63	$400.00	$106.03
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	80	43	$3200.00	$437.68
67210 Laser destruction of retinal growth, 1 or more sessions	42	39	$2250.00	$636.02
92083 Exam of visual field with extended testing	39	34	$150.00	$62.13
67145 Photocoagulation treatment to prevent detachment of retina	36	33	$1708.33	$554.94
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	24	24	$5700.00	$1136.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$200.00	$105.45
67108 Repair of detached retina and drainage of eye fluid between lens and retina	12	11	$6000.00	$1094.44
67036 Removal of eye fluid (vitreous) between the lens and retina	12	12	$4000.00	$842.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	3,401	915	$100.00	$39.70
92012 Established patient problem focused exam of visual system	3,317	838	$135.00	$83.87
J0178 Injection, aflibercept, 1 mg	2,715	202	$2229.28	$939.32
67028 Injection of drug into eye	2,437	457	$1181.00	$113.97
J2778 Injection, ranibizumab, 0.1 mg	2,350	99	$490.00	$362.00
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg	1,760	29	$8.75	$3.72
J9035 Injection, bevacizumab, 10 mg	1,174	262	$150.13	$76.02
92250 Photography of the retina	1,010	714	$165.00	$50.41
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	974	70	$425.06	$193.36
92014 Established patient complete exam of visual system	821	715	$200.00	$121.42
92235 Exam of retinal blood vessels using a special camera after injection of a dye	628	522	$285.00	$82.13
92225 Examination of eye by ophthalmoscope with retinal drawing	519	273	$105.38	$26.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	267	267	$280.00	$157.96
92226 Examination of eye by ophthalmoscope with retinal drawing	265	136	$104.28	$23.94
76512 Ultrasound of eye disease, growth, or structure	199	127	$305.50	$67.31
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	197	170	$615.00	$217.34
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	105	49	$2819.05	$399.49
67145 Photocoagulation treatment to prevent detachment of retina	47	44	$1691.49	$539.32
67210 Laser destruction of retinal growth, 1 or more sessions	37	28	$2351.35	$629.79
92083 Exam of visual field with extended testing	22	18	$150.00	$61.47
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	21	21	$5700.00	$1105.43
67515 Injection of medication or substance into membrane covering eyeball	15	13	$165.33	$88.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,673	1,036	$99.50	$39.03
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg	2,528	43	$8.75	$3.78
92014 Established patient complete exam of visual system	1,769	790	$200.21	$116.77
67028 Injection of drug into eye	1,666	475	$1055.64	$110.11
J0178 Injection, aflibercept, 1 mg	1,594	187	$2224.59	$948.32
J2778 Injection, ranibizumab, 0.1 mg	1,231	62	$493.18	$366.63
92012 Established patient problem focused exam of visual system	957	609	$149.73	$83.22
J9035 Injection, bevacizumab, 10 mg	933	286	$138.42	$72.14
92225 Examination of eye by ophthalmoscope with retinal drawing	542	291	$105.39	$25.70
92235 Exam of retinal blood vessels using a special camera after injection of a dye	505	489	$278.74	$75.88
92250 Photography of the retina	430	407	$165.13	$62.80
92226 Examination of eye by ophthalmoscope with retinal drawing	405	220	$105.00	$23.70
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	315	28	$419.06	$189.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	222	222	$288.77	$155.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	184	$176.88	$103.91
76512 Ultrasound of eye disease, growth, or structure	106	74	$291.90	$86.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	60	13	$12.35	$1.35
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	58	30	$2723.72	$394.79
67210 Laser destruction of retinal growth, 1 or more sessions	57	49	$1718.74	$545.73
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	41	41	$615.00	$212.22
67145 Photocoagulation treatment to prevent detachment of retina	24	20	$1577.00	$534.93
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$113.91	$70.24

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX M7090

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Hospital & Practice Group Affiliations

Texas Retina Associates

203 Archway Dr, Woodway, TX 767126105

Phone: 2547537007

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. James Campbell , MD

Ophthalmology

NPI 1356320154

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active September 21, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 21, 2017

Registered at 7030 NEW SANGER RD STE 102, WACO, TX 767124073 (Tel: 2547537007)

📍

Updated Business Mailing Address September 21, 2017

Registered at 7030 NEW SANGER RD STE 102, WACO, TX 767124073 (Tel: (254) 753-7007)

👤

Provider Name / Credentials Updated September 21, 2017

Recorded as IVAN CASTILLO-SALAZAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2017

Ophthalmology (License #M7090 in TX)

✅

NPI Profile Active December 12, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 12, 2011

Registered at 9500 STOCKDALE HWY, STE 108, BAKERSFIELD, CA 933113620 (Tel: 6616638111)

📍

Updated Business Mailing Address December 12, 2011

Registered at 301 W HUNTINGTON DR, STE 107, ARCADIA, CA 910073462 (Tel: 6265740020)

👤

Provider Name / Credentials Updated December 12, 2011

Recorded as IVAN CASTILLO-SALAZAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2011

Ophthalmology (License #A117589 in CA)

🟢

Initial NPI Registration & Enumeration May 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316155443

Entity Type:

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

Enumeration Date: May 21, 2007

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7030 New Sanger Rd Ste 102

Waco, TX 767124073

Phone: 2547537007

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.