Kenneth Terry Bacon in Austin - Diagnostic Radiology
Kenneth Terry Bacon - NPI 1205813052
Kenneth Terry Bacon is a Diagnostic Radiology in Austin, Texas. Kenneth Terry Bacon practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kenneth Terry Bacon is 1205813052. The last update date is 2008-03-04.
Kenneth Terry Bacon's current location address is 12221 Mopac Expressway North, Austin, Texas. You can contact this provider via phone number 5129018748 and fax number 5129018755. The mailing address for Kenneth Terry Bacon is 12221 Mopac Expressway North, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Terry Bacon |
|---|---|
| Address | 12221 Mopac Expressway North, Austin, Texas |
| Phone Number | 5129018748 |
| Fax Number | 5129018755 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1205813052 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2008-03-04 |
Provider Mailing Address Detail
| Address | 12221 Mopac Expressway North |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787582483 |
| Phone Number | 5129018748 |
| Fax Number | 5129018755 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | D5902 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kenneth Terry Bacon by the Centers for Medicare & Medicaid Services?
The Kenneth Terry Bacon has been issued the NPI (National Provider Identifier) 1205813052, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kenneth Terry Bacon is located?
The Kenneth Terry Bacon is situated at the following address: 12221 Mopac Expressway North, Austin, TX, 787582483.
What is the Kenneth Terry Bacon's specialty and taxonomy code?
The Kenneth Terry Bacon's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205813052 to Kenneth Terry Bacon?
The Centers for Medicare & Medicaid Services originally issued the 1205813052 to Kenneth Terry Bacon on 2005-12-22.
As of what date were the details related to Kenneth Terry Bacon most recently updated or revised?
The information pertaining to Kenneth Terry Bacon, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-04.
NPI Number: 1194728618
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