Provider Demographics
NPI:1447390380
Name:BACHMAN, JOEL ROGER (PA)
Entity Type:Individual
Prefix:MR
First Name:JOEL
Middle Name:ROGER
Last Name:BACHMAN
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:2210 CROCKETT DR
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-5902
Mailing Address - Country:US
Mailing Address - Phone:325-203-5190
Mailing Address - Fax:833-340-1327
Practice Address - Street 1:2210 CROCKETT DR
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-5902
Practice Address - Country:US
Practice Address - Phone:325-203-5190
Practice Address - Fax:833-340-1327
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2022-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA04943363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant