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NPI Code Detail

MEDICARE: DR. PAUL BAUER MD

MEDICARE: DR. PAUL BAUER 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
1208000000XPediatrics Physician48721-020WI
22080P0203XPediatric Critical Care Medicine PhysicianU7834TX

General Provider Information

NPI Number : 1831261171
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL BAUER MD
Provider Business Mailing Address
First Line : 4900 MUELLER BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78723-3051
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4900 MUELLER BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78723-3051
Country : US
Telephone Number : 512-324-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 04/26/2024

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