Provider Demographics
NPI:1760652309
Name:RONALD R. BADEN, MD, PA
Entity Type:Organization
Organization Name:RONALD R. BADEN, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:JERRE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-333-4296
Mailing Address - Street 1:1505 WINDING WAY DR STE 210
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5395
Mailing Address - Country:US
Mailing Address - Phone:281-482-2229
Mailing Address - Fax:281-992-4310
Practice Address - Street 1:1505 WINDING WAY DR STE 210
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5395
Practice Address - Country:US
Practice Address - Phone:281-482-2229
Practice Address - Fax:281-992-4310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7158207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty