Individual
DR. EDWARD WILLIAM BAUMGARTNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17314 STATE HIGHWAY 249 STE 100, HOUSTON, TX 77064-1100
(832) 960-7160
Mailing address
17314 STATE HIGHWAY 249 STE 100, HOUSTON, TX 77064-1100
(832) 960-7160
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125053498
IL
207L00000X
Anesthesiology Physician
P7067
TX
208VP0000X
Pain Medicine Physician
Primary
P7067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353838103
—
TX
01
—
H08DW61401
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/24/2009
Last updated
02/28/2022
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