Provider Demographics
NPI:1558476408
Name:BARUCH-BIENEN, DEBORAH LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:LYNN
Last Name:BARUCH-BIENEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:MAIL CODE 7870 HOSPTIALIST MEDICINE
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-617-5120
Mailing Address - Fax:210-949-3292
Practice Address - Street 1:7400 MERTON MINTER ST
Practice Address - Street 2:CODE 111 MEDICAL SERVICE, AUDIE MURPHY HOSPTIAL
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-617-5120
Practice Address - Fax:210-949-3292
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2009-06-23
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Provider Licenses
StateLicense IDTaxonomies
TXL2129207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX157483201Medicaid
TX8388B6Medicare PIN
110244570Medicare PIN