Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 1045464 | TX |
NPI | 1063083475 |
---|---|
Provider Name | Steven William Baugher |
First Address | San Antonio, TX 78247-1385 |
Second Address | New Braunfels, TX 78130-0058 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2021 |
Last Update Date | 07/07/2021 |