Individual provider · NPI-1
Gary Baldwin, PA-C
Physician Assistant · Round Rock, TX
NPI number1831380161
StatusActive
Last updated in NPPESNov 20, 2025
Details
- NPI
- 1831380161
- Entity type
- Individual (NPI-1)
- Name
- Gary Baldwin
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2007
- Certification date
- Nov 20, 2025
- Last updated
- Nov 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 4776 | TN | Yes |
| 363A00000X | Physician Assistant | PA19278 | CA |
Practice location
3200 Greenlawn BlvdRound Rock, TX 78664-7590
Phone 281-783-8162
Mailing address
3200 Greenlawn BlvdRound Rock, TX 78664-7590
Phone 281-783-8162
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