Waco Integrated Medical PLLC
NPI 1205397965 · General Practice Physician · Woodway, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Waco Integrated Medical PLLC is a General Practice Physician organization in Woodway, TX (NPI 1205397965).
Provider details
- NPI number
- 1205397965
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Philip Fulton, Billing Manager(254) 581-0247
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-03-26
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Frequently asked questions
- What is Waco Integrated Medical PLLC's NPI number?
- Waco Integrated Medical PLLC's National Provider Identifier (NPI) is 1205397965, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waco Integrated Medical PLLC?
- Waco Integrated Medical PLLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Waco Integrated Medical PLLC located?
- Waco Integrated Medical PLLC's practice location on file with NPPES is 8300 Old Mcgregor Rd Ste 2a, Woodway, TX 76712-3600.
- What is Waco Integrated Medical PLLC's phone number?
- The practice phone number listed in the NPPES registry for Waco Integrated Medical PLLC is (254) 537-1064.
- Does Waco Integrated Medical PLLC accept Medicare?
- Waco Integrated Medical PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Waco Integrated Medical PLLC?
- The authorized official listed on Waco Integrated Medical PLLC's NPPES record is Philip Fulton, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waco Integrated Medical PLLC's NPI active?
- Yes — Waco Integrated Medical PLLC's NPI (1205397965) is active in the NPPES registry as of the last update on 2026-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.