Organization
DR AMERICO M BACA PLLC
Active
Other names
San Juan Family Clinic, Spence Legacy Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W HOVORKA MD (PRESIDENT)
(956) 992-9161
Entity
Organization
Contact information
Practice address
417 W FM 495, SAN JUAN, TX 78589-3717
(956) 783-7088
(956) 783-5657
Mailing address
417 W FM 495, SAN JUAN, TX 78589-3717
(956) 783-7088
(956) 783-5657
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404748201
—
TX
05
—
404748202
—
TX
01
—
866001
MEDICARE
TX
Enumeration date
02/15/2019
Last updated
03/27/2026
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