Baca, John M.
Baca, John M. is an sole proprietor health care provider with primary practice located at 6300 W Parker Rd Ste 425 , Plano TX 75093-8104. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Baca, John M. can be contacted via phone (972) 942-8080.Contact Information
Primary practice address
6300 W Parker Rd Ste 425
Plano TX 75093-8104
Phone: (972) 942-8080
Fax: (972) 759-9083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 2232 | Texas |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 2232 | Texas |
Profile Details
| NPI number | 1487919288 |
|---|---|
| LBN Legal business name | Baca, John M. |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2012 |
| Last updated | Dec 22nd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487919288 | NPPES |
| Texas | MEDICAID | 3919854 |
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