Individual
TERESA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9650
(806) 354-5730
Mailing address
1400 WALLACE BLVD, AMARILLO, TX 79106-1708
(806) 414-9650
(806) 354-5730
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L6774
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164903001
—
TX
05
—
164903003
—
TX
05
—
200067660 A
—
OK
05
—
66138566
—
NM
Enumeration date
07/07/2006
Last updated
01/21/2016
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