Benjamin Russell Bach, PA

Physician Assistant · Tyler, TX

Individual Active NPI

NPI number 1346750064

Practice location

7062 Highlands Ln
Tyler, TX 75703-0590
Phone
(903) 483-1090

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NPI record

NPI
1346750064
Entity type
Individual (Type 1)
Enumeration date
October 8, 2017
Last updated
October 8, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA11467 TX

Mailing address

13025 Prelude Dr
Frisco, TX 75035-2224

About Benjamin Bach

Benjamin Russell Bach, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 7062 Highlands Ln, Tyler, TX 75703-0590. The NPI number 1346750064 was assigned on October 8, 2017 and the record was last updated on October 8, 2017.

Benjamin Bach lists a license in the registry: #PA11467 (TX) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin Russell Bach, PA?

The NPI number is 1346750064.

What is the phone number of Benjamin Bach?

The phone number listed for the practice location is (903) 483-1090.

Where is Benjamin Bach located?

7062 Highlands Ln, Tyler, TX 75703-0590.

What is the taxonomy code for Benjamin Bach?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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