Baccus, Katheren

Baccus, Katheren is an individual health care provider with primary practice located at 1317 N Hillcrest Dr , Sulphur Springs TX 75482-2091. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Baccus, Katheren can be contacted via phone (903) 438-1110.

Contact Information

Primary practice address
1317 N Hillcrest Dr Sulphur Springs TX 75482-2091
Phone: (903) 438-1110
Fax: (903) 438-1107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 558304 Texas

Profile Details

NPI number 1083896567
LBN Legal business name Baccus, Katheren
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2007
Last updated Jan 23rd, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083896567 NPPES
Texas MEDICAID 198135905
Texas Other 752950731
Texas MEDICAID 198135904

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