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1851886758
RYAN BACA
FORT WORTH, TX
NPI
1851886758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA12081)
Enumeration Date
2018-06-25
Last Update Date
2022-02-28
Business Address
RYAN BACA PA
800 5TH AVE STE 500
FORT WORTH, TX 76104-7304
Phone number: 817-250-4280
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Mailing Address
RYAN BACA PA
800 5TH AVE STE 500
FORT WORTH, TX 76104-7304
Phone number: 817-250-4280
Copy
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