Bauman, Wendall
Bauman, Wendall is an individual health care provider with primary practice located at 11651 Toepperwein Rd Ste 201, Live Oak TX 78233-3147. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bauman, Wendall can be contacted via phone (210) 654-0400.Contact Information
Primary practice address
11651 Toepperwein Rd Ste 201
Live Oak TX 78233-3147
Phone: (210) 654-0400
Fax: (210) 654-0460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | J4706 | Texas |
Profile Details
| NPI number | 1508082132 |
|---|---|
| LBN Legal business name | Bauman, Wendall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jul 7th, 2009 - about 17 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 | 1508082132 | NPPES |
| Texas | MEDICAID | 034567003 |
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