Waco VA

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

537457 Issued in TX

Legal business name

WACO VA

Practice address

301 Brenda Dr
Hewitt, TX 76643-3862

Phone

(254) 666-9571

NPI assigned

Jan 7, 2008

Last updated

Jan 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Marie Luevenia Ware

Title

RN

Phone

(254) 666-9571

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1326223512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BRENDA DR",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433862",
            "telephone_number": "254-666-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BRENDA DR",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433862",
            "telephone_number": "254-666-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACO VA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "LUEVENIA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "254-666-9571",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "TX",
            "license": "537457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Davidson
• Jackie Van Schoik, RPH
• Krystal Vanek
• Haylie Vincent
• Waco Speaks LLC
• Matthew Darby Wagoner, RPH
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-7156)
• Wal-Mart Stores Texas, LLC (Wal-Mart Vision Center 30-7156)
• Debra Annette Walton, PTA
• Theophlius Watson III, LCSW

• Psychiatric Hospital in Hewitt, TX
• Providers in Hewitt, TX by specialty
• Psychiatric Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.