Individual provider Active NPI

Carl Eugene Baublet, RRT

  • Radiography Radiologic Technologist
  • Athens, TX
National Provider Identifier
1013055730
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
163881 Issued in TX
Practice address
810 Lucas Dr
Athens, TX 75751-3446
Phone
(903) 675-6778
Fax
(903) 675-2333
NPI assigned
Feb 2, 2007
Last updated
Jan 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic Technologist 2471C3402X 163881 TX Primary

Addresses

Primary practice location

810 Lucas Dr
Athens, TX 75751-3446

Mailing address

810 Lucas Dr
Athens, TX 75751-3446
Phone (903) 675-6778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
163881TXMDRadiography Radiologic Technologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1013055730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 LUCAS DR",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513446",
            "telephone_number": "903-675-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 LUCAS DR",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513446",
            "telephone_number": "903-675-6778",
            "fax_number": "903-675-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUBLET",
        "first_name": "CARL",
        "middle_name": "EUGENE",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "TX",
            "license": "163881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.