Dr. John L Baeke, M.D.
General Practice in San Antonio, TX. Individual provider (NPI-1).
NPI number1831192525
StatusActive
Last updated in NPPESJun 20, 2025
Details
- NPI
- 1831192525
- Entity type
- Individual (NPI-1)
- Name
- Dr. John L Baeke
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 27, 2005
- Certification date
- Jun 20, 2025
- Last updated
- Jun 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | T2821 | TX | Yes |
| 208200000X | Plastic Surgery | G55894 | CA | |
| 208200000X | Plastic Surgery | T2821 | TX |
Practice location
423 Treeline Park Ste 310San Antonio, TX 78209-2079
Phone 918-380-2525 · Fax 530-430-2026
Mailing address
26 Di Lusso DrBoerne, TX 78006-4703
Phone 918-380-2525 · Fax 530-430-2026
Other practice locations
11212 State Highway 151
San Antonio, TX 78251-4498
San Antonio, TX 78251-4498
Phone 918-380-2525
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