Individual
RONNIE PATRICK BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 SHADY OAK ST, BURNET, TX 78611-2634
(512) 756-2238
Mailing address
203 SHADY OAK ST, BURNET, TX 78611-2634
(512) 756-2238
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
172A00000X
Driver
—
—
247200000X
Other Technician
—
—
374700000X
Technician
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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