Bacares, Edgar

Bacares, Edgar is an individual health care provider with primary practice located at 2120 N Mays St , Round Rock TX 78664-2192. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bacares, Edgar can be contacted via phone (877) 800-5722.

Contact Information

Primary practice address
2120 N Mays St Round Rock TX 78664-2192
Phone: (877) 800-5722
Fax: (512) 257-1763
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 209528 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M9827 Texas

Profile Details

NPI number 1225021256
LBN Legal business name Bacares, Edgar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Mar 4th, 2024 - about 8 months 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 1225021256 NPPES
New York MEDICAID 01971448

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