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Katheren Baccus, CPNP
Pediatric Nurse Practitioner in Sulphur Springs, Texas
NPI 1083896567

Katheren Baccus is a Pediatric Nurse Practitioner based in Sulphur Springs, TX and is specialized in Pediatrics. Katheren Baccus practices in Sulphur Springs, TX and has the professional credentials of CPNP. The NPI Number for Katheren Baccus is 1083896567 and holds a License No. 558304 (Texas).

The current practice location address for Katheren Baccus is 1317 N Hillcrest Dr, Sulphur Springs, TX and can be reached out via phone at 903-438-1110 and via fax at 903-438-1107.

Location: 1317 N Hillcrest Dr, Sulphur Springs, TX, 75482-2091
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Provider Profile Details
NPI Number
1083896567
Provider Name
Katheren Baccus
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
1317 N Hillcrest Dr, Sulphur Springs, TX, 75482-2091
Phone Number
903-438-1110
Fax Number
903-438-1107
Provider Enumeration Date
11/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
198135905 05 TX
752950731 01 TX TAX ID
198135904 05 TX
institution
Provider Business Practice Location Address Details
Address
1317 N Hillcrest Dr
City
State
Zip
75482-2091
Phone Number
903-438-1110
Fax Number
903-438-1107
person
Provider Business Mailing Address Details
Address
1317 N Hillcrest Dr
City
State
Zip
75482-2091
Phone Number
903-438-1110
Fax Number
903-438-1107
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
558304 (Texas)
Definition
Definition to come...
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