Organization
WALTER M. BAIN MD PA
Active
Other names
Otolaryngology Associates of South Texas
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER M. BAIN MD (PRESIDENT)
(210) 226-8982
Entity
Organization
Contact information
Practice address
1303 MCCULLOUGH AVE, SUITE 242, SAN ANTONIO, TX 78212-5609
(210) 226-8982
Mailing address
1303 MCCULLOUGH AVE, SUITE 242, SAN ANTONIO, TX 78212-5609
(210) 226-8982
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
E4184
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082977201
—
TX
01
—
E4184
MEDICAL LICENSE
TX
Enumeration date
06/07/2007
Last updated
06/28/2010
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