Organization
BACA ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE BACA (CRNA)
(979) 992-3292
Entity
Organization
Contact information
Practice address
1 SAINT MARKS PL, LA GRANGE, TX 78945-1250
(979) 242-2200
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
(316) 281-3700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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