Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dalisa Kelly Bacon

Individual provider Nurse's Aide · NPI 1063062800

Dalisa Kelly Bacon is a Nurse's Aide in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2019.

Licensed in
TX
In the registry since
2019
Specialties on file
2

Practice location Address checks out

7710 W I 10
San Antonio, TX 78230
Phone: (210) 377-3355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 1014667 (TX)
Nurse's Aide Taxonomy 376K00000X

Record details

NPI number1063062800
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2019
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020
Mailing address7710 West I 10, San Antonio, TX 78230

Other providers in San Antonio