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Individual
DR. NATHAN B BAUMER
Active
Individual
DR. NATHAN B BAUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
K5803
TX
208D00000X
General Practice Physician
Primary
K5803
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007737012
AETNA/PROIMA
TX
05
—
105800006
—
TX
01
—
8U3450
BCBSTX/PROIMA
TX
Enumeration date
08/10/2006
Last updated
12/20/2017
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