MEDICARE: RONALD RICHARD BADEN M.D.

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	207V00000X	Obstetrics & Gynecology Physician	G7158	TX

General Provider Information

NPI Number	:	1912911702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD RICHARD BADEN M.D.

Provider Business Mailing Address
First Line	:	1505 WINDING WAY
Second Line	:	STE 210
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-5147
Country	:	US
Telephone Number	:	281-482-2229
Fax Number	:	281-992-4310

Provider Business Practice Location Address
First Line	:	1505 WINDING WAY
Second Line	:	STE 210
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-5147
Country	:	US
Telephone Number	:	281-482-2229
Fax Number	:	281-992-4310

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	12/03/2008

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