Individual
MR. CHANGIL LEE BACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1295 ARRINGTON RD STE 300, COLLEGE STATION, TX 77845-8603
(979) 213-5218
(979) 213-5219
Mailing address
5000 ELDORADO PKWY, BOX 150-153, FRISCO, TX 75033
(469) 598-1200
(972) 637-9272
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP113612
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171954401
—
TX
Enumeration date
04/03/2006
Last updated
09/24/2024
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