WACO PEDIATRIC HEALTH ASSOCIATES
Medical Practice at Pine Ave, Waco, TX

License number
Texas D1333
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. HARVEY SPARK MD
Title: OWNER PRES
Phone: (254) 756-6836
Address
Address
3115 Pine Ave, Waco, TX 76708
National Provider ID: 1891870242
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about WACO PEDIATRIC HEALTH ASSOCIATES at bizstanding.com

Waco Pediatric Health Associate

2201 Macarthur Dr STE 103, Waco, TX 76708

Categories:
Pediatrics Physicians & Surgeons, Physicians & Surgeons
Phone:
(254) 756-6836 (Phone)

WACO PEDIATRIC HEALTH ASSOCIATES PA

Waco, TX

Status:
Inactive
Registration:
Jan 7, 2005
Addresses:
2201 Macarthur Dr STE 103, Waco, TX 76708 (Mailing)
3115 Pne Ave, Waco, TX 76708
State ID:
0800437682
Business type:
Professional Association
Vice-Presidents:
Harvey Spark President, Director, Member, inactive,Mary J. Spark Vice-President, inactive
TIN:
32035471559

Medical Practice licenses in Texas










Other Doctors licenses in Texas