Bacon, Stacy Anne
Bacon, Stacy Anne is an individual health care provider with primary practice located at 21212 Northwest Fwy Ste 605 , Cypress TX 77429-5889. She recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as her primary health care specialty. Bacon, Stacy Anne can be contacted via phone (281) 955-7577.Contact Information
Primary practice address
21212 Northwest Fwy Ste 605
Cypress TX 77429-5889
Phone: (281) 955-7577
Fax: (281) 955-5875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | M0651 | Texas |
Profile Details
| NPI number | 1013962810 |
|---|---|
| LBN Legal business name | Bacon, Stacy Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | May 8th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013962810 | NPPES |
| Texas | Other | 8F4308 | BC/BS PIN |
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