NPI age
16 years
Enumerated 2010-04-23
● Active Type 2 · Organization
Subpart
Ascension Providence
Ascension Providence is 1 of 145 psychiatric unit organizations in Texas.
Primary specialty
Psychiatric Unit
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Patterson
Administrator
Last NPPES update
2021-12-27
Source: monthly bulk 2026-05
How this organization compares
Across 145 active psychiatric unit providers in Texas.
NPI age
16 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-04Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
301 Londonderry Dr
Waco, TX 767127915
Mailing address
Po Box 206121
Dallas, TX 753206121
Authorized official
Philip Patterson
Administrator
📞 2547514766
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Nathalie Boulos, MD Psychiatry & Neurology NPI 1548714397
- Aurora Mignosa, M.D. Psychiatry & Neurology NPI 1417038175
- Roxann Samples, M.D. Internal Medicine NPI 1184796252
Specialties
-
Psychiatric Unit PrimaryIn general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ASCENSION PROVIDENCE DEPAUL CENTER
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of Ascension Providence.
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