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Dr. Wendall Bauman, MD
Specialist in Live Oak, Texas
NPI 1508082132

Wendall Bauman is a Specialist based in Live Oak, TX. Wendall Bauman practices in Live Oak, TX and has the professional credentials of MD. The NPI Number for Wendall Bauman is 1508082132 and holds a License No. J4706 (Texas).

The current practice location address for Wendall Bauman is 11651 Toepperwein Rd, Live Oak, TX and can be reached out via phone at 210-654-0400 and via fax at 210-654-0460.

Location: 11651 Toepperwein Rd, Live Oak, TX, 78233-3147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508082132
Provider Name
Wendall Bauman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11651 Toepperwein Rd, Live Oak, TX, 78233-3147
Phone Number
210-654-0400
Fax Number
210-654-0460
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
034567003 05 TX
institution
Provider Business Practice Location Address Details
Address
11651 Toepperwein Rd
City
Live Oak
State
Texas
Zip
78233-3147
Phone Number
210-654-0400
Fax Number
210-654-0460
person
Provider Business Mailing Address Details
Address
11651 Toepperwein Rd
City
Live Oak
State
Texas
Zip
78233-3147
Phone Number
210-654-0400
Fax Number
210-654-0460
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
J4706 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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