Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | M3469 | TX |
Y | 208600000X | Surgeon | M3469 | TX |
N | 2082S0105X | Plastic Hand Surgeon | M3469 | TX |
NPI | 1629197603 |
---|---|
Provider Name | Dr. Michael Aaron Baumholtz |
First Address | Shavano Park, TX 78249-2066 |
Second Address | Shavano Park, TX 78249-2066 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 08/03/2018 |