Provider Demographics
NPI:1144788944
Name:BAUGHMAN, BRYAN H (MHA - CONSULTANT)
Entity Type:Individual
Prefix:
First Name:BRYAN
Middle Name:H
Last Name:BAUGHMAN
Suffix:
Gender:M
Credentials:MHA - CONSULTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22944 SEBASTIAN DR
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-5943
Mailing Address - Country:US
Mailing Address - Phone:832-405-1671
Mailing Address - Fax:
Practice Address - Street 1:22944 SEBASTIAN DR
Practice Address - Street 2:
Practice Address - City:PORTER
Practice Address - State:TX
Practice Address - Zip Code:77365-5943
Practice Address - Country:US
Practice Address - Phone:832-405-1671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-11
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator