| Baca Family Practice Pllc | |
|
722 S Nebraska Ave San Juan TX 78589-2650 | |
| (956) 884-7100 | |
| (956) 884-7784 |
| Full Name | Baca Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 722 S Nebraska Ave, San Juan, Texas |
| Authorized Official Name and Position | Americo M Baca (PRESIDENT) |
| Authorized Official Contact | 9568847100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baca Family Practice Pllc 817 W Moore Rd Pharr TX 78577-6710 Ph: (956) 789-9318 | Baca Family Practice Pllc 722 S Nebraska Ave San Juan TX 78589-2650 Ph: (956) 884-7100 |
| NPI Number | 1063150399 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 05/25/2022 |
| Medicare PECOS PAC ID | 3779961461 |
|---|---|
| Medicare Enrollment ID | O20220608002849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063150399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Americo M Baca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336168129 PECOS PAC ID: 8527116219 Enrollment ID: I20090507000358 |
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Yuri O. Bermudez, M.d. Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 N Nebraska Ave, San Juan, TX 78589 Phone: 956-223-0699 Fax: 717-482-5495 | |
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