Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICK J C DE BACA, M.D.
Active Sole ProprietorPATRICK J C DE BACA, M.D. is a General Surgery healthcare provider located in CLAYTON, New Mexico. NPI 1386658094 is currently active in the NPPES registry. Verify at CMS.
General Surgery · CLAYTON, NM
Registration Details
- NPI Number
- 1386658094
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2006 (19.862326075451 yrs)
- Last Updated
- Aug 16, 2010
- License
-
4301044788 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
315 N 3RD AVECLAYTON, NM, 884153300Browse NM providers · Browse ZIP 88415
- Phone
- 5753742273
- Fax
- 5753742498
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in CLAYTON, NM
| Name | Credential | NPI |
|---|---|---|
| PAUL MICHAEL WILLETTE | M.D. | 1376532424 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.