Michael Pimentel
Family Medicine in Waco, TX. Individual provider (NPI-1).
NPI number1104512151
StatusActive
Last updated in NPPESOct 6, 2026
Details
- NPI
- 1104512151
- Entity type
- Individual (NPI-1)
- Name
- Michael Pimentel
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2023
- Certification date
- Oct 6, 2026
- Last updated
- Oct 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | V8733 | TX | Yes |
Practice location
1600 Providence DrWaco, TX 76707-2261
Phone 254-313-4418
Mailing address
1600 Providence DrWaco, TX 76707-2261
Phone 254-313-4418
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