Individual
DR. JOHN M. BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
6300 W PARKER RD STE 425, PLANO, TX 75093-8104
(972) 942-8080
(972) 759-9083
Mailing address
6300 W PARKER RD STE 425, PLANO, TX 75093-8104
(972) 942-8080
(972) 759-9083
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2232
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
2232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3919854
—
TX
Enumeration date
07/08/2012
Last updated
12/22/2022
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