Moc Waco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MOC WACO LLC

Doing business as

Rapid Recovery Center of Waco

Practice address

5801 Crosslake Pkwy
Waco, TX 76712-6948

Phone

(254) 420-0056

NPI assigned

Feb 23, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Fritz

Title

President

Phone

(512) 277-3345

Specialties & licenses 1

Addresses

Other names 1

• Rapid Recovery Center of Waco Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1023557097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 ARROW POINT DR",
            "address_2": "SUITE 210",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137737",
            "telephone_number": "512-277-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 CROSSLAKE PKWY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126948",
            "telephone_number": "254-420-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOC WACO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-277-3345"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rapid Recovery Center of Waco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Justine Mitchell, MD
• Nitoshia Mitchell, HAIR LOSS SPECIALIST
• Steven D Mitchell, PHARM.D.
• Kimberly Mizerik
• Jack Mobley
• Jeremiah Lee Moen, LCSW
• Meridith Leigh Moffatt, LPC
• Todd A Moffatt, M.D.
• Anna Mohamed, CRNA
• Mohammad Mahmoud Mohammad, MD

• Skilled Nursing Facility in Waco, TX
• Providers in Waco, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.