Organization
SUE ELLEN BAUM MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUE ELLEN BAUM MD (OWNER)
(214) 293-7086
Entity
Organization
Contact information
Practice address
1708 COIT RD, SUITE 295, PLANO, TX 75075-5041
(972) 599-1637
Mailing address
312 ORIOLE DR, MURPHY, TX 75094-3889
(214) 293-7086
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
L2795
TX
Other
Enumeration date
06/30/2010
Last updated
01/14/2011
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