David Jacob Bauder, PA-C
Physician Assistant, Medical in Fort Hood, TX. Individual provider (NPI-1).
NPI number1477619476
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1477619476
- Entity type
- Individual (NPI-1)
- Name
- Mr. David Jacob Bauder
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
Bldg 2245 Thomas Moore Health Clinic58th Street And 761st Tank Battalion Ave
Fort Hood, TX 76544
Phone 254-287-4943
Mailing address
12907 Vidorra Vista DrSan Antonio, TX 78216-7761
Phone 210-493-2137
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Other Medical Physician Assistant providers in Fort Hood, TX
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- Anisa M GarciaNPI 1891931077
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- Michael Andrew Haar, PA-CNPI 1801953385
- Neil Hedden, PA-CNPI 1194867804
- Jason Riley Jones, PA-CNPI 1245574276
All 21 Medical Physician Assistant providers in Fort Hood · All 1,212 providers in Fort Hood
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