Individual provider · NPI-1
Marshall G Baca Jr., D.O.
Emergency Medicine · Artesia, NM
NPI number1922340074
StatusActive
Last updated in NPPESNov 8, 2024
Details
- NPI
- 1922340074
- Entity type
- Individual (NPI-1)
- Name
- Marshall G Baca Jr.
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2013
- Certification date
- Nov 8, 2024
- Last updated
- Nov 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | A-1877-15 | NM | Yes |
| 207P00000X | Emergency Medicine | Q8422 | TX |
Practice location
702 N 13th StArtesia, NM 88210-1199
Phone 575-748-3333
Mailing address
704 W MonterreyArtesia, NM 88210-2758
Phone 520-370-8310
Other practice locations
4801 Alberta Ave
El Paso, TX 79905-2707
El Paso, TX 79905-2707
Phone 915-545-7345 · Fax 915-545-7338
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