Baum, Yvonne

Baum, Yvonne is an individual health care provider with primary practice located at 700 Olympic Plaza Cir Suite 912, Tyler TX 75701-1951. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Baum, Yvonne can be contacted via phone (903) 596-3808.

Contact Information

Primary practice address
700 Olympic Plaza Cir Suite 912 Tyler TX 75701-1951
Phone: (903) 596-3808
Fax: (903) 561-0836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X J6823 Texas

Profile Details

NPI number 1679572614
LBN Legal business name Baum, Yvonne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jul 8th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679572614 NPPES
Texas Other 8R8720 BCBS IND NUMBER
Texas MEDICAID 039793702 BCBS IND NUMBER

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