Provider Demographics
NPI:1508065855
Name:BAUGH, JIMMY DEE II (MD)
Entity Type:Individual
Prefix:
First Name:JIMMY
Middle Name:DEE
Last Name:BAUGH
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:3417 GASTON AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2031
Mailing Address - Country:US
Mailing Address - Phone:972-993-5000
Mailing Address - Fax:972-993-5001
Practice Address - Street 1:8215 WESTCHESTER DR STE 320
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6117
Practice Address - Country:US
Practice Address - Phone:972-993-5040
Practice Address - Fax:972-993-5041
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2023-03-17
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Provider Licenses
StateLicense IDTaxonomies
TXN7678207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX480387YKQLMedicare PIN