NPI age
2 years
Enumerated 2023-08-11
● Active Type 2 · Organization
McLennan Community College
McLennan Community College is 1 of 251 family medicine organizations in Texas.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bass
Administrator/agent
Last NPPES update
2023-08-11
Source: monthly bulk 2026-05
How this organization compares
Across 251 active family medicine providers in Texas.
NPI age
2 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-08Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
1400 College Dr
Waco, TX 767081402
Mailing address
15305 Dallas Pkwy Ste 800
Addison, TX 750016415
Authorized official
Mouzon Bass
Administrator/agent
📞 9723674845
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Latarsha Edwards, DNP-PMHNP-BC Nurse Practitioner NPI 1376073072
- Corey Heidt, LCSW, CTRS Social Worker NPI 1952000952
- Rebecca Railsback, ATC, LAT, M.S.ED. Specialist/Technologist NPI 1336403971
- Randal Snider, ATC, LAT Specialist/Technologist NPI 1619321155
- Anita Zaricor, OTR Occupational Therapist NPI 1679048896
Specialties
-
Family Medicine PrimaryA family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
McLennan Athletics
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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