Baytown Geriatrics, P.a.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

E8431 Issued in TX

Legal business name

BAYTOWN GERIATRICS, P.A.

Practice address

4110 Avalon LN
Baytown, TX 77521-2867

Phone

(281) 384-6286

Fax

(281) 421-0948

NPI assigned

Jul 23, 2013

Last updated

Jul 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Wayne Demmler, M.D.

Title

President/Secretary

Phone

(281) 384-6286

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1780026443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 507",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775220507",
            "telephone_number": "281-384-6286",
            "fax_number": "281-421-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 AVALON LN",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212867",
            "telephone_number": "281-384-6286",
            "fax_number": "281-421-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYTOWN GERIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "DEMMLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "281-384-6286",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "E8431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Baytown Imaging Center LLC (Sky MRI & Diagnostics II)
• Baytown Internal Medicine Associates PLLC
• Baytown Medical Center, LP
• Baytown Medical Center, LP
• Baytown Medical Center, LP

• Geriatric Medicine (Family Medicine) Physician in Baytown, TX
• Providers in Baytown, TX by specialty
• Geriatric Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.