Doctor Name: | CARL EUGENE BAUBLET |
NPI Number: | 1013055730 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RRT |
License Number: | 163881 |
Business Practice Address: | 810 Lucas Dr Athens, TX - 757513446 |
Business Phone Number: | 9036756778 |
Business Fax Number: | 9036752333 |
Mailing Address: | 810 Lucas Dr, ATHENS |
State: | TX |
Postal Code: | 757513446 |
Phone Number: | 9036756778 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 01/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471C3402X |
License Number: | 163881 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Radiography |
Taxonomy Definition: |