John L Baeke in San Antonio - Plastic Surgery

John L Baeke - NPI 1831192525

John L Baeke is a Plastic Surgery in San Antonio, Texas. John L Baeke practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for John L Baeke is 1831192525. The last update date is 2022-05-06.

John L Baeke's current location address is 17503 La Cantera Pkwy # 104-409, San Antonio, Texas. You can contact this provider via phone number 2108021661 and fax number 2105796710. The mailing address for John L Baeke is 17503 La Cantera Pkwy # 104-409, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name John L Baeke
Address 17503 La Cantera Pkwy # 104-409, San Antonio, Texas
Phone Number 2108021661
Fax Number 2105796710
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1831192525
Provider Enumeration Date 2005-05-27
Last Updated Date 2022-05-06

Provider Mailing Address Detail

Address 17503 La Cantera Pkwy # 104-409
City San Antonio
State Texas (TX)
Post Code 7825782070
Phone Number 2108021661
Fax Number 2105796710

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No G55894
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
18537060 KS BCBS OF KC
240003786 KS RAILROAD MEDICARE
458239 KS BCBS OF KS

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FAQs about John L Baeke

What is the unique identifier code issued to John L Baeke by the Centers for Medicare & Medicaid Services?

The John L Baeke has been assigned the NPI (National Provider Identifier) 1831192525. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of John L Baeke?

The John L Baeke is physically situated at 17503 La Cantera Pkwy # 104-409, in the city of San Antonio, state of TX, with the postal code 7825782070.

What is the area of specialization for John L Baeke, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John L Baeke is Plastic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208200000X.

On what date did the John L Baeke receive the assignment of its 1831192525 from the Centers for Medicare & Medicaid Services?

The John L Baeke was issued its 1831192525 by the Centers for Medicare & Medicaid Services on 2005-05-27.

As of what date were the details related to John L Baeke most recently updated or revised?

The information pertaining to John L Baeke, including its address, specialty, and other relevant details, was last updated or revised on 2022-05-06.

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