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

Waco Integrated Medical PLLC

Organization General Practice Physician · NPI 1205397965

Waco Integrated Medical PLLC is a General Practice Physician in Woodway, Texas. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8300 Old McGregor Rd Ste 2A
Woodway, TX 76712-3600
Phone: (254) 537-1064
Fax: (254) 537-1092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1205397965
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Fulton — Billing Manager · (254) 581-0247
NPI enumeratedMarch 26, 2019
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address5000 W Waco Dr, Waco, TX 76710-7022

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