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Contact Information

MARSHALL G BACA MD PC
2411 OSBORNE RD
CARLSBAD, NM88220-3265
 Phone: 505-885-2188
 Fax: 505-885-6486
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MARSHALL G BACA MD PC

NPI # 1881818201
LBN Legal business name MARSHALL G BACA MD PC
Authorized official MARSHALL BACA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2007
Last updated 04/20/2008 - About 18 years ago
Identifiers
NM License # 96-5
NM Medicaid H5181
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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