Provider Demographics
NPI:1952752750
Name:BACH, DENISE EVELYN (ANP-C)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:EVELYN
Last Name:BACH
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 HIGHWAY 225 EAST
Mailing Address - Street 2:SHELL OIL COMPANY
Mailing Address - City:DEER PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77505
Mailing Address - Country:US
Mailing Address - Phone:713-246-6932
Mailing Address - Fax:713-246-7811
Practice Address - Street 1:5900 HIGHWAY 225 EAST
Practice Address - Street 2:SHELL OIL COMPANY
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536
Practice Address - Country:US
Practice Address - Phone:713-246-6932
Practice Address - Fax:713-246-7811
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX441698363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health