Bruce Baca PA

NPI #1295981140 in Amarillo, Texas

Provider Information

NPI Number: 1295981140
Entity Type: Organization
Organization Name: Bruce Baca PA
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 12, 2008
Last Updated: Oct 13, 2008

Practice Location

Address: 7120 I-40 W
Address 2: SUITE 456
City: Amarillo
State: Texas
ZIP Code: 79106-2526
Phone: (806) 322-1074

Authorized Official

Name: MR. BRUCE S BACA, LCSW
Title: PRESIDENT
Phone: (806) 322-1074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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