Individual
DR. WENDALL BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11651 TOEPPERWEIN RD, STE 201, LIVE OAK, TX 78233-3147
(210) 654-0400
(210) 654-0460
Mailing address
11651 TOEPPERWEIN RD, STE 201, LIVE OAK, TX 78233-3147
(210) 654-0400
(210) 654-0460
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J4706
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034567003
—
TX
Enumeration date
04/18/2007
Last updated
07/07/2009
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