Individual
DR. NATHAN B BAUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
523 N SAM HOUSTON PKWY E, SUITE 125, HOUSTON, TX 77060-4036
(805) 275-1834
Mailing address
1717 ROTARY DR, HUMBLE, TX 77338-5235
(281) 272-6277
(281) 272-6281
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
K5803
TX
208D00000X
General Practice Physician
Primary
K5803
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007737012
AETNA/PROIMA
TX
05
—
105800006
—
TX
01
—
8U3450
BCBSTX/PROIMA
TX
Enumeration date
08/10/2006
Last updated
12/20/2017
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