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Kenneth Terry Bacon, MD
Diagnostic Radiology Physician in Austin, Texas
NPI 1205813052

Kenneth Terry Bacon is a Diagnostic Radiology Physician based in Austin, TX and is specialized in Diagnostic Radiology. Kenneth Terry Bacon practices in Austin, TX and has the professional credentials of MD. The NPI Number for Kenneth Terry Bacon is 1205813052 and holds a License No. D5902 (Texas).

The current practice location address for Kenneth Terry Bacon is 8038 Mesa Dr, Austin, TX and can be reached out via phone at 512-901-8748.

Location: 8038 Mesa Dr, Austin, TX, 78758-2483
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205813052
Provider Name
Kenneth Terry Bacon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8038 Mesa Dr, Austin, TX, 78758-2483
Phone Number
512-901-8748
Fax Number
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
8038 Mesa Dr
City
Austin
State
Texas
Zip
78731-1319
Phone Number
512-901-8748
Fax Number
person
Provider Business Mailing Address Details
Address
8038 Mesa Dr
City
Austin
State
Texas
Zip
78731-1319
Phone Number
512-901-8748
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
D5902 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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