Individual
MR. ANTHONY RAY BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
3901 W 15TH ST, PLANO, TX 75075-7738
(817) 428-6474
Mailing address
7029 RIDGE LINE DR, NORTH RICHLAND HILLS, TX 76182-7829
(817) 428-6474
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP127329
TX
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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