Joel F Bacon, D.C.
Individual provider Active NPI Orthopedic Chiropractor · Del Rio, TX
NPI 1629414545 · NPPES record last updated May 19, 2013
Key facts
- NPI
- 1629414545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Chiropractor 111NX0800X
- License
- 2717 (TX)
- Practice address
- 1800 Veterans Blvd
Suite B
Del Rio, TX 78840-3577 - Phone
- (830) 774-4355
- NPI assigned
- May 19, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2717 | TX | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 2717 | TX | Yes |
Addresses
Primary practice location
1800 Veterans Blvd
Suite B
Del Rio, TX 78840-3577
Mailing address
1800 Veterans Blvd
Suite B
Del Rio, TX 78840-3577
Phone (830) 774-4355
Other providers in Del Rio, TX
- Clarissa Arizpe
- Brianna Nicole Arredondo
- Aslan Professional Services LLC
- Gerardo Astudillo
- Maricris Jimenez Atay
- Victoria Dominque Balderas
- Heather Sue Bangerter
- Sergio Barksdale
- Veronica Barreto Cedillo
- Bauer Family Dentistry PLLC
All providers in Del Rio, TX · Orthopedic Chiropractor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.