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Individual
DR. REBEKAH J. BAUMGARNER
Active
Individual
DR. REBEKAH J. BAUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J3627
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045015701
—
TX
01
—
760559650
TAX IDENTIFICATION NUMBER
TX
01
—
89011G
BCBS PROVIDER NUMBER
TX
01
—
J3627
MEDICAL LICENSE NUMBER
TX
Enumeration date
08/05/2006
Last updated
07/27/2022
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