| Esaias Isacc Baca, DC | |
|
2211 Norfolk Street, 105, Houston, TX 77098 | |
| (346) 348-2222 | |
| (712) 522-3047 |
| Full Name | Esaias Isacc Baca |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 2211 Norfolk Street, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730416405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 11310 (Texas) | Primary |
| Provider Name | Flux Metabolic Restoration Center Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1528347267 PECOS PAC ID: 2264604594 Enrollment ID: O20111011000413 |
| Mailing Address | Practice Location Address |
|---|---|
| Esaias Isacc Baca, DC 2211 Norfolk St, Ste 105, Houston, TX 77098-4096 Ph: (713) 522-9814 | Esaias Isacc Baca, DC 2211 Norfolk Street, 105, Houston, TX 77098 Ph: (346) 348-2222 |
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