Individual
DR. SANDY BERNARD BAHM II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 WALNUT, #209, COLUMBUS, TX 78934
(979) 733-0690
(979) 733-0686
Mailing address
PO BOX 580, COLUMBUS, TX 78934
(979) 733-0690
(979) 733-0686
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D5903
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099686002
—
TX
01
—
201539519
RAIL ROAD MEDICARE
TX
Enumeration date
11/03/2006
Last updated
05/29/2008
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