Individual
MICHEL G BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-3030
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 730-5437
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
G7486
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105753102
—
TX
Enumeration date
03/30/2006
Last updated
10/18/2023
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