Provider Demographics
NPI:1245667856
Name:BAKARE, PATRICK
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:
Last Name:BAKARE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4347 S HAMPTON RD
Mailing Address - Street 2:SUITE 129
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-1065
Mailing Address - Country:US
Mailing Address - Phone:214-330-7600
Mailing Address - Fax:214-330-7601
Practice Address - Street 1:4347 S HAMPTON RD
Practice Address - Street 2:SUITE 129
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-1065
Practice Address - Country:US
Practice Address - Phone:214-330-7600
Practice Address - Fax:214-330-7601
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies