Individual
DR. MARCIAL JUDE BARBA BACANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G7454
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050041734
RAILROAD MEDICARE
TX
05
—
131339702
—
TX
05
—
1975923
—
LA
01
—
84Y522
TX-BLUE SHIELD
—
Enumeration date
01/04/2007
Last updated
04/27/2020
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