KENNETH TERRY BACON

AUSTIN, TX
NPI1205813052
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: TX  D5902)
Enumeration Date2005-12-22
Last Update Date2008-03-04
Business Address
-- KENNETH TERRY BACON MD
8038 MESA DR
AUSTIN, TX 78731-1319
Phone number: 512-901-8748
Mailing Address
-- KENNETH TERRY BACON MD
12221 MOPAC EXPRESSWAY NORTH
AUSTIN, TX 78758-2483
Phone number: 512-901-8748
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