# DR. JAQWIANA SAMIA BAKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255535852
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | BP1-0026587 | TX | — |
| 208000000X | Pediatrics Physician | MD87212 | SC | Yes |
| 208000000X | Pediatrics Physician | N4275 | TX | — |

## Other

- **Enumeration date:** 06/14/2007
- **Last updated:** 03/29/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3851526791 | MYUTMB 3851526791-COMMERCIAL NUMBER | — |
| 01 | — | MD87212 | MEDICAL LICENSE | SC |
| 01 | — | N4275 | MEDICAL LICENSE | TX |