Provider Demographics
NPI:1447214200
Name:BATENBURG, CAROLINE C (MD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:C
Last Name:BATENBURG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 E AUSTIN ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-4104
Mailing Address - Country:US
Mailing Address - Phone:830-606-0955
Mailing Address - Fax:830-625-4956
Practice Address - Street 1:189 E AUSTIN ST
Practice Address - Street 2:STE 105
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-4170
Practice Address - Country:US
Practice Address - Phone:830-606-0955
Practice Address - Fax:830-625-4956
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-17
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ89062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1002024-01Medicaid
TX1002024-01Medicaid
TXG16041Medicare UPIN