Jason Edward Bacon
Internist Hospice and Palliative Medicine
2401 S 31st St
Temple
, Texas 76508-1000
Jason Edward Bacon
Internist Hospice and Palliative Medicine
2401 S 31st St
Temple
, Texas 76508-1000
(254) 724-2111
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About
Features
Specialties
- Internist
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Jason Edward Bacon
- Po Box 844658
- Dallas, TX
- Zip : 75284-4658
- Phone : (254) 724-2111
Second Address
- Jason Edward Bacon
- 2401 S 31st St
- Temple, TX
- Zip : 76508-1000
- Phone : (254) 724-2111
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MT212122 | PA |
| N | 111NI0900X | Internist | MT212122 | PA |
| Y | 207RH0002X | Hospice and Palliative Medicine | S6570 | TX |
National Provider Identifier
| NPI | 1205287869 |
|---|---|
| Provider Name | Jason Edward Bacon |
| First Address | Dallas, TX 75284-4658 |
| Second Address | Temple, TX 76508-1000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2016 |
| Last Update Date | 03/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.