Changil Lee Bachman, FNP
Nurse Practitioner, Family in College Station, TX. Individual provider (NPI-1).
NPI number1477515864
StatusActive
Last updated in NPPESSep 24, 2024
Details
- NPI
- 1477515864
- Entity type
- Individual (NPI-1)
- Name
- Mr. Changil Lee Bachman
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2006
- Certification date
- Sep 24, 2024
- Last updated
- Sep 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP113612 | TX | Yes |
Practice location
1295 Arrington Rd Ste 300College Station, TX 77845-8603
Phone 979-213-5218 · Fax 979-213-5219
Mailing address
5000 Eldorado Pkwy, Box 150-153Frisco, TX 75033
Phone 469-598-1200 · Fax 972-637-9272
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