| Doctor Name: | THOMAS JOHN BAYUK |
| NPI Number: | 1013235886 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 0102203037 |
| Business Practice Address: | 2200 Bergquist Drive Suite 1 Wilford Hall Medical Center Lackland Afb, TX - 782369908 |
| Business Phone Number: | 2102927667 |
| Business Fax Number: | 2102926896 |
| Mailing Address: | 3551 Roger Brooke Dr, Neurology Clinic FORT SAM HOUSTON |
| State: | TX |
| Postal Code: | 782344504 |
| Phone Number: | 2109162203 |
| Fax Number: | 2109163833 |
| NPI Enumeration Date: | 05/04/2010 |
| NPI Last Update Date: | 05/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0102203037 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |