Organization
DONALD D BACON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD BACON MD (OWNER)
(210) 546-1410
Entity
Organization
Contact information
Practice address
525 OAK CENTRE DR STE 140, SAN ANTONIO, TX 78258-3916
(210) 546-1410
Mailing address
525 OAK CENTRE DR STE 140, SAN ANTONIO, TX 78258-3916
(210) 546-1410
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E2452
TX
Other
Enumeration date
04/29/2013
Last updated
10/22/2014
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