| Ryan Baca, PA | |
|
800 5th Ave Ste 500, Fort Worth, TX 76104-7304 | |
| (817) 250-4280 | |
| (817) 250-4281 |
| Full Name | Ryan Baca |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 800 5th Ave Ste 500, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851886758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA12081 (Texas) | Primary |
| Entity Name | Texas Health Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174573596 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
| Entity Name | Siripurapu Associates PLLC Medical Associates of North Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023495702 PECOS PAC ID: 5698086924 Enrollment ID: O20150612001373 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Baca, PA 800 5th Ave Ste 500, Fort Worth, TX 76104-7304 Ph: (817) 250-4280 | Ryan Baca, PA 800 5th Ave Ste 500, Fort Worth, TX 76104-7304 Ph: (817) 250-4280 |
Phillip Steven Woessner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104 Phone: 817-250-4280 Fax: 817-250-4281 |
Shane Kelleher, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-7840 Fax: 682-885-7856 |
Danielle Purcell Lopez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2332 Beverly Hills Dr, Fort Worth, TX 76114 Phone: 817-378-0855 Fax: 817-378-0861 |
Jaimie Ann Story, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132 Phone: 817-375-5200 |
Benjamin Craig, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-2500 Fax: 682-885-2510 |
Sharyl Workman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-927-1100 |
Mrs. Audrey Raquel Nelson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Hemphill St, Fort Worth, TX 76104 Phone: 817-332-4060 Fax: 817-332-2304 |