Baldacchino, Thomas Charles

Baldacchino, Thomas Charles is an individual health care provider with primary practice located at 200 Medical Pkwy , Lakeway TX 78738-1791. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Baldacchino, Thomas Charles can be contacted via phone (512) 654-1234.

Contact Information

Primary practice address
200 Medical Pkwy Lakeway TX 78738-1791
Phone: (512) 654-1234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X J0437 Texas

Profile Details

NPI number 1720057631
LBN Legal business name Baldacchino, Thomas Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 11th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720057631 NPPES
Texas MEDICAID 119193404
Texas Other 8G4961

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