Individual
DR. JOSE JESUS BACA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
602 CINCINNATI AVE, EL PASO, TX 79902-2615
(915) 474-7499
(915) 544-7499
Mailing address
602 CINCINNATI AVE, EL PASO, TX 79902-2615
(915) 474-7499
(915) 544-7499
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H-9187
TX
Other
Enumeration date
06/12/2010
Last updated
01/11/2011
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