Individual
DR. TERI LYNNE BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
115 MEDICAL CIR STE 103, ATHENS, TX 75751-9004
(903) 677-8453
(903) 677-8454
Mailing address
115 MEDICAL CIR STE 103, ATHENS, TX 75751-9004
(903) 677-8453
(903) 677-8454
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K6959
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178423301
—
TX
05
—
216528401
—
TX
01
—
8S2731
IND. BLUE CROSS BLUE SHIE
TX
Enumeration date
06/16/2005
Last updated
02/06/2012
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