Individual
DR. JASON MICHAEL BACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1102 BATES AVE STE 630, HOUSTON, TX 77030-2623
(832) 822-1038
Mailing address
2300 NOTTINGHAM CT, FORT COLLINS, CO 80526-5230
(970) 443-7571
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A108974
CA
208000000X
Pediatrics Physician
NOT YET ISSUED
CA
Other
Enumeration date
05/22/2008
Last updated
04/12/2022
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