Individual
DR. CHARLES EUGENE BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
502 MADISON OAK DRIVE, SUITE 330, SAN ANTONIO, TX 78258-4298
(210) 481-3006
(210) 481-3793
Mailing address
502 MADISON OAK DRIVE, SUITE 330, SAN ANTONIO, TX 78258-4298
(210) 481-3006
(210) 481-3793
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
7025
AL
2086S0120X
Pediatric Surgery Physician
Primary
M3884
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000009542
—
AL
01
—
051009542
BLUE CROSS
AL
05
—
096153100
—
FL
01
—
1710246
UNITED HEALTHCARE
AL
05
—
183103401
—
TX
05
—
4041476
—
TN
01
—
51009542BAL
VIVA HEALTH
AL
Enumeration date
06/13/2005
Last updated
11/09/2010
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