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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1487919288 NPPES
Texas MEDICAID 3919854

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