Eugene C Waters PHD PC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

21344 Issued in TX

Legal business name

EUGENE C WATERS PHD PC

Practice address

2027 S 61St St
Ste 126
Temple, TX 76504-6867

Phone

(254) 774-8272

NPI assigned

Mar 1, 2016

Organization subpart

No

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

Authorized official

Name

Eugene C Waters, PH.D.

Title

Owner

Phone

(254) 774-8272

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Anthony Pugliese, PH.D.

  • Clinical Psychologist
  • Temple, TX
  • NPI 1225032790
  NPD

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1285094466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 S 61ST ST",
            "address_2": "STE 126",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765046867",
            "telephone_number": "254-774-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 S 61ST ST",
            "address_2": "STE 126",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765046867",
            "telephone_number": "254-774-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE C WATERS PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-774-8272",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "21344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ydamis Estrella Perez, M.D.
• Jacqueline Nicole Estrella, PMHNP-BC
• Alyssa Alexandra Eszterhas, MD
• Cynthia Kay Ethridge
• Christopher Euell, DO
• Christy Evans, PHARMD
• Justin Brent Evans, MD
• Kerry F Evans, ACNP-AG
• Luzmila Evans, LMSW
• Richard D Evans

• Clinical Child & Adolescent Psychologist in Temple, TX
• Providers in Temple, TX by specialty
• Clinical Child & Adolescent Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.