Individual
COURTNEY JEWEL BAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 E 45TH ST APT 11, AUSTIN, TX 78751-3229
(956) 207-4680
Mailing address
611 E 45TH ST APT 11, AUSTIN, TX 78751-3229
(956) 207-4680
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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