Organization
CONTINENCE CARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BACON (PRESIDENT/COO)
(512) 632-1325
Entity
Organization
Contact information
Practice address
510 DUSTY LEATHER CT, PFLUGERVILLE, TX 78660-3855
(512) 297-7627
Mailing address
510 DUSTY LEATHER CT, PFLUGERVILLE, TX 78660-3855
(512) 297-7627
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
663872
TX
363LF0000X
Family Nurse Practitioner
740539
TX
Other
Enumeration date
04/25/2008
Last updated
11/26/2008
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