Organization
SUSAN BACSIK DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN LEIGH BACSIK DO (OWNER)
(817) 946-0790
Entity
Organization
Contact information
Practice address
730 N BISHOP AVE, DALLAS, TX 75208-4338
(817) 946-0790
Mailing address
709 HAINES AVE, DALLAS, TX 75208-4032
(817) 946-0790
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
M6511
TX
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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