Individual
ANDY BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1550 IRON POINT RD APT 2423, FOLSOM, CA 95630-7820
(713) 204-8565
Mailing address
1550 IRON POINT RD APT 2423, FOLSOM, CA 95630-7820
(713) 204-8565
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
815196
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
95000607
CA
367500000X
Certified Registered Nurse Anesthetist
AP129075
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351568602
—
TX
Enumeration date
04/10/2015
Last updated
01/04/2022
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