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Individual

AUSTIN ROBERT BALTENSPERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3551 ROGER BROOKE DRIVE, SAMMC, JBSA FORT SAM HOUSTON, TX 78234-4504
(210) 916-9928
(210) 916-9332
Mailing address
3551 ROGER BROOKE DRIVE, SAMMC, JBSA FORT SAM HOUSTON, TX 78234-4504
(210) 916-9928
(210) 916-9332

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
28459
NE
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
28459
NE

Other

Enumeration date
04/30/2013
Last updated
01/16/2020
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