| Steven M. Bauer, M.d., Pa | |
|
20642 Stone Oak Pkwy Suite 108 San Antonio TX 78258-7362 | |
| (210) 492-0505 | |
| (210) 492-0504 |
| Full Name | Steven M. Bauer, M.d., Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 20642 Stone Oak Pkwy, San Antonio, Texas |
| Authorized Official Name and Position | Steven Michael Bauer (PRESIDENT) |
| Authorized Official Contact | 2104920505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven M. Bauer, M.d., Pa 20642 Stone Oak Pkwy Suite 108 San Antonio TX 78258-7362 Ph: (210) 492-0505 | Steven M. Bauer, M.d., Pa 20642 Stone Oak Pkwy Suite 108 San Antonio TX 78258-7362 Ph: (210) 492-0505 |
| NPI Number | 1013186170 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 10/05/2010 |
| Medicare PECOS PAC ID | 3072660273 |
|---|---|
| Medicare Enrollment ID | O20090407000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013186170 | NPI | - | NPPES |
| 0013JL | Other | TX | BCBS |
| 0044RC | Other | TX | BCBS |
| 163518701 | Medicaid | TX | |
| DD4786 | Other | TX | PALMETTO RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K2411 (Texas) | Primary |
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