Provider Demographics
NPI:1699839191
Name:BAUGH, JAMES E (LMT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:BAUGH
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 N OAKHURST ST
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351-2825
Mailing Address - Country:US
Mailing Address - Phone:936-328-6946
Mailing Address - Fax:
Practice Address - Street 1:300 BYPASS LN
Practice Address - Street 2:SUITE 206
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351-8413
Practice Address - Country:US
Practice Address - Phone:936-328-6946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT100862225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist