Wic, LTD.

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

WIC, LTD.

Doing business as

Waco Open MRI

Practice address

105 Old Hewitt Rd
200
Waco, TX 76712-6549

Phone

(254) 772-5612

Fax

(254) 772-5617

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John S. Cowan

Title

Manager

Phone

(254) 772-5612

Specialties & licenses 1

Addresses

Other names 1

• Waco Open MRI Doing business as

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508954892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 OLD HEWITT RD",
            "address_2": "200",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126549",
            "telephone_number": "254-772-5612",
            "fax_number": "254-772-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 OLD HEWITT RD",
            "address_2": "200",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126549",
            "telephone_number": "254-772-5612",
            "fax_number": "254-772-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "254-772-5612",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waco Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirstin White, BA
• Thomas Brian White, MD
• Shelly Marie Whitehead, LVN
• Severine M Whittier, CRNA
• Matthew S Wiberg
• Kimberly Wical
• Clarence Louis Widmann, O.D.
• Kelsey Paige Wiggs, PT, DPT
• Diana Lee Wilcox, PH.D.
• Patricia A Wilcox, M.D.

• Magnetic Resonance Imaging (MRI) Clinic/Center in Waco, TX
• Providers in Waco, TX by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.