Doctor Name: | MS. KATHRYN REGINA BAUER |
NPI Number: | 1114119344 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 645852 |
Business Practice Address: | 6264 Circle Oak Dr Bulverde, TX - 781632328 |
Business Phone Number: | 8304384061 |
Business Fax Number: | |
Mailing Address: | 6264 Circle Oak Dr, BULVERDE |
State: | TX |
Postal Code: | 781632328 |
Phone Number: | 8304384061 |
Fax Number: | |
NPI Enumeration Date: | 08/12/2007 |
NPI Last Update Date: | 08/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 645852 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |