Retina Institute of South Texas

NPI #1629196118 in Live Oak, Texas

Provider Information

NPI Number: 1629196118
Entity Type: Organization
Organization Name: Retina Institute of South Texas
Primary Specialty: Specialist
Enumeration Date: Mar 26, 2007
Last Updated: Dec 8, 2014

Practice Location

Address: 11651 TOEPPERWEIN RD
Address 2: STE 201
City: Live Oak
State: Texas
ZIP Code: 78233-3147
Phone: (210) 654-0400

Authorized Official

Name: DR. WENDALL BAUMAN, M.D.
Title: OWNER
Phone: (210) 654-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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