Bauer, Brent J
Bauer, Brent J is an individual health care provider with primary practice located at 7125 Sanger Rd Ste 516 , Waco TX 76712-4054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Bauer, Brent J can be contacted via phone (254) 752-9638.Contact Information
Primary practice address
7125 Sanger Rd Ste 516
Waco TX 76712-4054
Phone: (254) 752-9638
Fax: (254) 752-2201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | N3488 | Texas |
Profile Details
| NPI number | 1033312632 |
|---|---|
| LBN Legal business name | Bauer, Brent J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2007 |
| Last updated | Jan 8th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033312632 | NPPES |
| Texas | MEDICAID | 211558603 | |
| Texas | Other | N3488 | |
| Texas | Other | BP2-0018483 |
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