MEDICARE: USPS MEDICAL ASSOCIATES, PLLC

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	207LP2900X	Pain Medicine (Anesthesiology) Physician		TX
2	208VP0000X	Pain Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	409802	OTHER	TX	MEDICARE

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	:	1881085595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USPS MEDICAL ASSOCIATES, PLLC

Provider Business Mailing Address
First Line	:	8111 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1705
Country	:	US
Telephone Number	:	713-973-7246
Fax Number	:

Provider Business Practice Location Address
First Line	:	8111 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1705
Country	:	US
Telephone Number	:	713-973-7246
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	EDWARD BAUMGARTNER
Credential	:	MD
Telephone Number	:	713-973-7246

Provider Enumeration Date	:	02/17/2015
Last Update Date	:	12/14/2017

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