ANTHONY RAY BACA

PLANO, TX
NPI1275923302
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  AP127329)
Enumeration Date2015-01-27
Last Update Date2015-01-27
Business Address
Mr. ANTHONY RAY BACA AG-ACNP
3901 W 15TH ST
PLANO, TX 75075-7738
Phone number: 817-428-6474
Mailing Address
Mr. ANTHONY RAY BACA AG-ACNP
7029 RIDGE LINE DR
NORTH RICHLAND HILLS, TX 76182-7829
Phone number: 817-428-6474
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