Waco Integrated Medical PLLC
NPI 1205397965ActiveOrganization· General Practice· Woodway, TX
General Practice in Woodway, Texas, registered in NPPES in March 2019. The authorized official on file is Philip Fulton, Billing Manager. Enrolled in Medicare as dme supplier - physician - general practice and part b supplier - clinic/group practice.
Overview
| NPI | 1205397965 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 26, 2019 |
| Last updated in NPPES | May 26, 2026 |
| Certified by provider | May 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - General Practice (TX); Part B Supplier - Clinic/Group Practice (TX) |
|---|
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