MEDICARE: LINDA JONES BAUMGARTNER M.S., CCC-SLP

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	235Z00000X	Speech-Language Pathologist	100145	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
2	8T4840	OTHER	TX	BLUE SHIELD PROVIDER I D

General Provider Information

NPI Number	:	1326153883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA JONES BAUMGARTNER M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	3418 GEORGETOWN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2910
Country	:	US
Telephone Number	:	713-591-7593
Fax Number	:

Provider Business Practice Location Address
First Line	:	3418 GEORGETOWN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2910
Country	:	US
Telephone Number	:	713-591-7593
Fax Number	:

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

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	01/17/2008

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