BOONE BACON

DALLAS, TX
NPI1942875489
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA14611)
Enumeration Date2021-05-26
Last Update Date2021-05-26
Business Address
BOONE BACON PA-C
6201 HARRY HINES BLVD
DALLAS, TX 75390-0001
Phone number: 214-633-5555
Mailing Address
BOONE BACON PA-C
PO BOX 845347
DALLAS, TX 75284-7208
Phone number:
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