Provider Demographics
NPI:1235971250
Name:BAUM ANESTHESIA CONSULTANTS A PROFESSIONAL NURSING ANESTHESIA CO
Entity type:Organization
Organization Name:BAUM ANESTHESIA CONSULTANTS A PROFESSIONAL NURSING ANESTHESIA CO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RCM ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:S
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:903-571-3844
Mailing Address - Street 1:98 EGLOFF CT
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-6613
Mailing Address - Country:US
Mailing Address - Phone:713-204-8565
Mailing Address - Fax:
Practice Address - Street 1:98 EGLOFF CT
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-6613
Practice Address - Country:US
Practice Address - Phone:713-204-8565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty