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NPI Code Detail

MEDICARE: DR. ROBERTO BAYARDO MD

MEDICARE:  DR. ROBERTO  BAYARDO  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
1207ZF0201XForensic Pathology PhysicianD5530TX

General Provider Information

NPI Number : 1609829563
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERTO BAYARDO MD
Provider Business Mailing Address
First Line : PO BOX 1748
Second Line :
City : AUSTIN
State : TX
Zip : 78767-1748
Country : US
Telephone Number : 512-854-9042
Fax Number :
Provider Business Practice Location Address
First Line : 1213 SABINE ST
Second Line :
City : AUSTIN
State : TX
Zip : 78701-1917
Country : US
Telephone Number : 512-854-9042
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERTO BAYARDO MD” Practice Location

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