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General NPI Number Information
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NPI Number | 1922564863
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Entity Type | Organization
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Legal Business Name | DR AMERICO M BACA PLLC
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Dates
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Enumeration Date | 02/15/2019
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 417 W FM 495
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City | SAN JUAN
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State | TX
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Zip | 78589-3717
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Country | US
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Telephone | 956-783-7088
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Fax | 956-783-5657
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Provider Business Mailing Address
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Address Line | 417 W FM 495
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City | SAN JUAN
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State | TX
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Zip | 78589-3717
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Country | US
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Telephone | 956-783-7088
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Fax | 956-783-5657
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN W HOVORKA
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Credential | MD
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Telephone | 956-992-9161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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