Individual
MR. DAVID JACOB BAUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
BLDG 2245 THOMAS MOORE HEALTH CLINIC, 58TH STREET AND 761ST TANK BATTALION AVE, FORT HOOD, TX 76544
(254) 287-4943
Mailing address
12907 VIDORRA VISTA DR, SAN ANTONIO, TX 78216-7761
(210) 493-2137
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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