Individual
EDGAR BACARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2120 N MAYS ST, ROUND ROCK, TX 78664-2192
(877) 800-5722
(512) 257-1763
Mailing address
2423 WILLIAMS DR STE 107, GEORGETOWN, TX 78628-3269
(877) 800-5722
(512) 257-1763
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
209528
NY
208000000X
Pediatrics Physician
Primary
M9827
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01971448
—
NY
Enumeration date
08/24/2005
Last updated
06/27/2025
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