Bruce Baca Pa

LBN: Bruce Baca Pa
Bruce Baca Pa is an health care organization with primary practice located at 7120 I-40 W Suite 456, Amarillo TX 79106-2526. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Bruce Baca Pa can be contacted via phone (806) 322-1074, or through Baca, Bruce S via phone (806) 322-1074.

Contact Information

Primary practice address
7120 I-40 W Suite 456 Amarillo TX 79106-2526
Phone: (806) 322-1074
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Baca, Bruce S Licensed Clinical Social Worker (LCSW)
Phone: (806) 322-1074

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 08001 Texas

Profile Details

NPI number 1295981140
LBN Legal business name Bruce Baca Pa
DBA Doing business as
Authorized official Baca, Bruce S Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2008
Last updated Oct 13th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295981140 NPPES
Texas MEDICAID 108119202
Texas Other 00S01B

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