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Organization
RONALD BACANI PRIMARY CARE CLINIC AND URGENT CARE, LLC
Active
Organization
RONALD BACANI PRIMARY CARE CLINIC AND URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD CASTRO BACANI FNP-C (FNP/PRIMARY CARE PROVIDER)
(432) 332-0728
Entity
Organization
Contact information
Practice address
621 NORTH WAHINGTON ST., ODESSA, TX 79761-5034
(432) 332-0728
Mailing address
PO BOX 3186, ODESSA, TX 79760-3186
(432) 332-0728
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
639134
TX
Other
Enumeration date
11/25/2008
Last updated
04/09/2009
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