Individual
DR. AMERICO M BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
722 S NEBRASKA AVE, SAN JUAN, TX 78589-2650
(956) 783-7088
(956) 783-5657
Mailing address
PO BOX 502, MCALLEN, TX 78505-0502
(956) 783-7088
(956) 783-5687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H9597
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130784504
—
TX
Enumeration date
07/19/2006
Last updated
07/08/2007
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