Provider Demographics
NPI:1437120623
Name:BACHMANN, RICHARD EDWARD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:EDWARD
Last Name:BACHMANN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3104 PRESTON HALL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-5100
Mailing Address - Country:US
Mailing Address - Phone:210-626-8747
Mailing Address - Fax:210-536-2216
Practice Address - Street 1:2601 LOUIS BAUER DR
Practice Address - Street 2:
Practice Address - City:BROOKS CITY-BASE
Practice Address - State:TX
Practice Address - Zip Code:78235-5130
Practice Address - Country:US
Practice Address - Phone:210-536-3500
Practice Address - Fax:210-536-2216
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA399952083A0100X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
Not Answered2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine