Benjamin Russell Bach PA

NPI No. 1346750064 - Physician Assistant

 

Contacts & Locations

Practice Address

  • 7062 Highlands Ln
    Tyler, Texas 75703, US
  • Phone: (903) 483-1090

Office Address

  • 13025 Prelude Dr
    Frisco, Texas 75035, US

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Benjamin Russell Bach Information

The 1346750064 NPI number belongs to Benjamin Russell Bach PA. Benjamin Russell Bach is an Individual and working at 7062 Highlands Ln, Tyler TX 75703, you can also contact him via phone number (903) 483-1090. Benjamin Russell Bach's specialty is listed as Physician Assistant.

About NPI No.

  • NPI Number: 1346750064 (Individual)
  • Name: Benjamin Russell Bach
  • Credential: PA
  • Individual: Physicians, dentists, nurses, chiropractors, pharmacists, physical therapists, etc.
  • Taxonomy

  • Taxonomy code: 363A00000X
  • Taxonomy specialization: Physician Assistant
  • Primary taxonomy: Yes
  • License

  • License number: PA11467
  • License state: Texas State License
  • Enumeration date: October 8, 2017
  • Last Update date: October 8, 2017

Benjamin Russell Bach is a Sole Proprietor.

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