Organization
BRUCE BACA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE S BACA LCSW (PRESIDENT)
(806) 322-1074
Entity
Organization
Contact information
Practice address
7120 I-40 W, SUITE 456, AMARILLO, TX 79106-2526
(806) 322-1074
Mailing address
PO BOX 50862, AMARILLO, TX 79159-0862
(806) 322-1074
(806) 322-1075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
08001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00S01B
BCBS TEXAS
—
05
—
108119202
—
TX
Enumeration date
08/12/2008
Last updated
10/13/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us