Bacchus, Ayesha
Bacchus, Ayesha is an sole proprietor health care provider with primary practice located at 16040 Park Valley Dr Ste 227 , Round Rock TX 78681-3596. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bacchus, Ayesha can be contacted via phone (512) 255-7337.Contact Information
Primary practice address
16040 Park Valley Dr Ste 227
Round Rock TX 78681-3596
Phone: (512) 255-7337
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 1102199 | Texas |
Profile Details
| NPI number | 1477265759 |
|---|---|
| LBN Legal business name | Bacchus, Ayesha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2022 |
| Last updated | May 3rd, 2024 - about last year |
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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