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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PAUL BACON, PHYSICAL THERAPIST

Active Sole Proprietor

MR. PAUL BACON, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in EMORY, Texas. NPI 1932285970 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · EMORY, TX

Registration Details

NPI Number
1932285970
Provider Type
Individual
Gender
Male
NPI Issued
Oct 31, 2006 (19.754872473148 yrs)
Last Updated
Jul 8, 2014
License
1124006 (TX)
Sole Proprietor
Yes

Practice Information

Address
903 EAST LENNON STREET
SUITE 101
EMORY, TX, 75440
Browse TX providers · Browse ZIP 75440
Phone
9034749436
Fax
9034733170
Primary Specialty
Physical Therapy Assistant
225100000X
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.