CHRISTOPHER GLENN BACAK

EL PASO, TX
NPI1548904022
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX  BP10081683)
Enumeration Date2022-04-21
Last Update Date2022-07-20
Business Address
CHRISTOPHER GLENN BACAK MD
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: 915-215-4360
Mailing Address
CHRISTOPHER GLENN BACAK MD
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: 915-215-5700