| Bruce M Bauknight Md Pa | |
|
6123 Country Club Dr Victoria TX 77904-1672 | |
| (361) 578-1430 | |
| (361) 578-0876 |
| Full Name | Bruce M Bauknight Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6123 Country Club Dr, Victoria, Texas |
| Authorized Official Name and Position | Bruce M Bauknight (OWNER) |
| Authorized Official Contact | 3615781430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce M Bauknight Md Pa 1908 N Laurent St Ste 200 Victoria TX 77901-5458 Ph: (361) 572-0333 | Bruce M Bauknight Md Pa 6123 Country Club Dr Victoria TX 77904-1672 Ph: (361) 578-1430 |
| NPI Number | 1801056122 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 04/18/2023 |
| Medicare PECOS PAC ID | 0840367991 |
|---|---|
| Medicare Enrollment ID | O20081230000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801056122 | NPI | - | NPPES |
| 195769801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce M Bauknight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487616785 PECOS PAC ID: 1355333667 Enrollment ID: I20040407000058 |
Gulshan K, Minocha. Md.pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Citizens Plaza, 406, Victoria, TX 77901 Phone: 361-572-0000 Fax: 361-574-1787 | |
Javier Vazquez Ortiz M.d., Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2705 Hospital Dr Ste 202, Victoria, TX 77901 Phone: 361-220-7016 Fax: 361-894-6373 | |
Frederick B Niegos Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 Phone: 361-574-1870 Fax: 361-574-1871 | |
Victoria Pediatrics & Adolescents Assoc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4304 Retama Cir, Victoria, TX 77901 Phone: 361-576-2134 Fax: 361-578-0221 | |
Victoria Physicians Solutions,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 Hospital Dr, Victoria, TX 77901 Phone: 361-576-3680 Fax: 361-576-4219 | |
Divyatish Primary Care Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E San Antonio St Ste 304w, Victoria, TX 77901 Phone: 361-576-3680 Fax: 361-576-4219 | |
Crossroads Virology Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1403 Victoria Station Dr, Victoria, TX 77901 Phone: 361-571-7956 Fax: 361-214-1460 |