Bacon, Donald David

Bacon, Donald David is an individual health care provider with primary practice located at 1202 E Sonterra Blvd Ste 101 , San Antonio TX 78258-4238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Bacon, Donald David can be contacted via phone (210) 546-1410.

Contact Information

Primary practice address
1202 E Sonterra Blvd Ste 101 San Antonio TX 78258-4238
Phone: (210) 546-1410
Fax: (210) 546-1419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X E2452 Texas

Profile Details

NPI number 1972502284
LBN Legal business name Bacon, Donald David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 21st, 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 1972502284 NPPES
Texas MEDICAID 134975503

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