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Individual
SHIRLEY JEANNE BAKER
Active
Individual
SHIRLEY JEANNE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000951608
—
TX
05
—
154467801
—
TX
05
—
154467803
—
TX
01
—
1568519122
NPI CLINIC
TX
01
—
1821185299
NPI AGENCY
TX
05
—
183142201
—
TX
05
—
185649401
—
TX
05
—
187842301
—
TX
01
—
741715140
TAX ID
TX
Enumeration date
06/20/2006
Last updated
09/12/2024
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