Individual
RONALD C. BACANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C, ACNS, MSN
Contact information
Practice address
540 W 5TH ST, SUITE 310, ODESSA, TX 79761-5034
(432) 580-3775
(432) 580-8310
Mailing address
540 W 5TH ST, SUITE 310, ODESSA, TX 79761-5034
(432) 580-3775
(432) 580-8310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
639134
TX
Other
Enumeration date
11/14/2006
Last updated
08/12/2008
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