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MARTIN BAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 593-8441
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
(903) 531-5000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J6325
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0058KA
BCBS
TX
05
104633603
TX
05
104633605
TX
05
104633606
TX
05
104633607
TX
05
104633608
TX
05
104633609
TX
01
75-0818167-022
TRICARE
TX
01
75-0818167-048
BCBS
TX
01
75-2616977-001
TRICARE
TX
01
75-2616977-002
TRICARE
TX
01
75-2616977-028
TRICARE
TX
01
750818167-044
TRICARE
TX
01
8EZ026
BCBS
TX
01
8EZ027
BCBS
TX
01
P01470460
RAIL ROAD MEDICARE
TX
01
TIN PLUS 005
TRICARE
TX
01
TIN PLUS 015
TRICARE
TX
Enumeration date
06/05/2006
Last updated
07/24/2015
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