Individual provider · Type 1 NPI
John L. Baeke, MD
General Practice Physician · San Antonio, TX
NPI number
1831192525
Active · reactivated May 31, 2018
Practice location
423 Treeline Park Ste 310
San Antonio, TX 78209-2079
Fax (530) 430-2026
Mailing address
26 Di Lusso Dr
Boerne, TX 78006-4703
Other practice locations
- 11212 State Highway 151, San Antonio, TX 78251-4498 · (918) 380-2525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Physician | 208200000X | G55894 (CA) |
| Plastic Surgery Physician | 208200000X | T2821 (TX) |
| General Practice Physician Primary | 208D00000X | T2821 (TX) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1831192525
John L. Baeke, MD's National Provider Identifier is 1831192525, issued on May 27, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Antonio, TX. The record was last updated on Jun 20, 2025.