All Medicaid billing entities listing BACAK, RUSSELL (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Texas | 1 | $26K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | BCS ABUNDANT LIFE FAMILY PRACTICE | COLLEGE STATION, TX | Family Medicine Physician | $26K |