MEDICARE: BALDEMAR COVARRUBIAS JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	H4253	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033191135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BALDEMAR COVARRUBIAS JR. MD

Provider Business Mailing Address
First Line	:	5718 SPOHN DR STE 100
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-4265
Country	:	US
Telephone Number	:	361-980-0808
Fax Number	:	866-239-6612

Provider Business Practice Location Address
First Line	:	5718 SPOHN DR STE 100
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-4265
Country	:	US
Telephone Number	:	361-980-0808
Fax Number	:	361-980-0088

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	02/17/2026

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