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General NPI Number Information
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NPI Number | 1659736973
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Entity Type | Organization
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Legal Business Name | BACAS INTERVENTIONAL PAIN MANAGEMENT, LLC
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Dates
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Enumeration Date | 12/31/2015
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 3838 N SAM HOUSTON PKWY E
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City | HOUSTON
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State | TX
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Zip | 77032-3400
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Country | US
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Telephone | 844-342-2227
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Fax | 713-401-9758
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Provider Business Mailing Address
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Address Line | 3838 N SAM HOUSTON PKWY E STE 325
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City | HOUSTON
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State | TX
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Zip | 77032-3400
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Country | US
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Telephone | 844-342-2227
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Fax | 713-401-9758
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Authorized Official
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Title or Position | MD
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Name | NELSON K BOND
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Credential | MD
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Telephone | 844-342-2227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME111629
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | L4253
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License Number State | TX
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