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1184705741
RUSSELL BRYAN BACAK
COLLEGE STATION, TX
NPI
1184705741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX K5445)
Enumeration Date
2006-10-18
Last Update Date
2019-01-29
Business Address
Dr. RUSSELL BRYAN BACAK M.D.
2911 TEXAS AVE S STE 202
COLLEGE STATION, TX 77845-5388
Phone number: 979-695-3570
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Mailing Address
Dr. RUSSELL BRYAN BACAK M.D.
2911 TEXAS AVE S STE 202
COLLEGE STATION, TX 77845-5388
Phone number: 979-695-3570
Copy
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