Individual
JOANNE N BACCHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
602 HICKORY ST, WEST SUITE, ABILENE, TX 79601-5044
(325) 704-5120
(325) 704-5123
Mailing address
602 HICKORY ST, WEST SUITE, ABILENE, TX 79601-5044
(325) 704-5120
(325) 704-5123
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
J8199
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115869302
—
TX
Enumeration date
11/17/2006
Last updated
08/26/2015
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