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Contact Information

STACY A BACON, MD
21212 NORTHWEST FWY STE 605
CYPRESS, TX77429-5889
 Phone: 281-955-7577
 Fax: 281-955-5875
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for STACY A BACON · (Female)

NPI # 1013962810
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2006
Last updated 05/08/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # M0651
  • TX Other 8F4308 BC/BS PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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