Organization
APOTHEOSIS MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L BAEKE MD (PRESIDENT)
(210) 665-4199
Entity
Organization
Contact information
Practice address
6523 MOSS OAK DR, SAN ANTONIO, TX 78229-4221
(409) 201-9655
(210) 200-8390
Mailing address
PO BOX 40338, SAN ANTONIO, TX 78229-1338
(409) 201-9654
(210) 200-8390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
01/29/2026
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