Provider Demographics
NPI:1215418678
Name:EDWARD BAUMGARTNER JR MD LLC
Entity Type:Organization
Organization Name:EDWARD BAUMGARTNER JR MD LLC
Other - Org Name:TEXAS INTERVENTIONAL PAIN SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUMGARTNER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:832-960-7160
Mailing Address - Street 1:17314 STATE HIGHWAY 249 STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1100
Mailing Address - Country:US
Mailing Address - Phone:832-960-7160
Mailing Address - Fax:
Practice Address - Street 1:17314 STATE HIGHWAY 249 STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064
Practice Address - Country:US
Practice Address - Phone:713-973-7246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-23
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty