Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emergency Medicine Doctor of Waco, PA

Organization Emergency Medicine Physician · NPI 1548466766

Emergency Medicine Doctor of Waco, PA is an Emergency Medicine Physician in Waco, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3721 Herwol Ave
Waco, TX 76710-7218
Phone: (254) 493-8337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence F9947 (TX)

Record details

NPI number1548466766
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Pettit — Owner-President · (254) 752-9821
NPI enumeratedJune 25, 2007
Last updated in NPPESJuly 29, 2014
Mailing address3721 Herwol Ave, Waco, TX 76710-7218

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