David Jacob Bauder, PA-C
Individual provider Active NPI Medical Physician Assistant · Fort Hood, TX
NPI 1477619476 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477619476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- BLDG 2245 Thomas Moore Health Clinic
58TH Street and 761St Tank Battalion Ave
Fort Hood, TX 76544 - Phone
- (254) 287-4943
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weight Loss and Vitality, Inc | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
BLDG 2245 Thomas Moore Health Clinic
58TH Street and 761St Tank Battalion Ave
Fort Hood, TX 76544
Mailing address
12907 Vidorra Vista Dr
San Antonio, TX 78216-7761
Phone (210) 493-2137
Other providers in Fort Hood, TX
- Jaque Barr
- Jessica Barraza
- John Richard Barrett
- Shawn Russell Bartley
- Aries Basulto
- Arna Barin Bayani
- Kimberly Sue Bayes
- Sharon Michelle Beach
- Madison Ann Beall
- Barbara Joyce Beard
All providers in Fort Hood, TX · Medical Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.