Provider Demographics
NPI:1710258868
Name:BAUMAN, DAWN CHRISTA (PHARMD)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:CHRISTA
Last Name:BAUMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 N FM 620 RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78726-4535
Mailing Address - Country:US
Mailing Address - Phone:512-249-9448
Mailing Address - Fax:
Practice Address - Street 1:7300 N FM 620 RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78726-4535
Practice Address - Country:US
Practice Address - Phone:512-244-9448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-21
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS44449183500000X
OH03-3-2582183500000X
TX63850183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist