Provider Demographics
NPI:1841250735
Name:BAUER, R DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:R
Middle Name:DAVID
Last Name:BAUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1130 BELT LINE RD
Mailing Address - Street 2:SUITE 135
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-3665
Mailing Address - Country:US
Mailing Address - Phone:972-530-9933
Mailing Address - Fax:972-530-9004
Practice Address - Street 1:1130 BELT LINE RD
Practice Address - Street 2:SUITE 135
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-3665
Practice Address - Country:US
Practice Address - Phone:972-530-9933
Practice Address - Fax:972-530-9004
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK3086207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0315194Medicaid
TX0096BNMedicare ID - Type Unspecified
TX0315194Medicaid