| Doctor Name: | RONNIE PATRICK BASS |
| NPI Number: | 1962688622 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 203 Shady Oak St Burnet, TX - 786112634 |
| Business Phone Number: | 5127562238 |
| Business Fax Number: | |
| Mailing Address: | 203 Shady Oak St, BURNET |
| State: | TX |
| Postal Code: | 786112634 |
| Phone Number: | 5127562238 |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2008 |
| NPI Last Update Date: | 01/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |