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Search › Texas › 225200000X

Ian Bacon

NPI 1215476890 · on the registry since 2017

Practice

Address
4510 27th St
Lubbock, TX 79410
Phone
(806) 795-4368
Organisation at this address
Mtr Management Group Llc
Yellow Ridge Healthcare Llc
Mpd Bender Terrace Of Lubbock Llc
Lubbock Retirement And Rehabilitation Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-02-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas