Individual
DR. DANA RAY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 CHISHOLM TRAIL RD STE 450, ROUND ROCK, TX 78681-5094
(512) 496-0394
(512) 249-1719
Mailing address
402 W PALM VALLEY BLVD STE A123, ROUND ROCK, TX 78664-4200
(512) 496-0394
(512) 249-1719
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F3729
TX
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
F3729
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8A3450
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/25/2006
Last updated
03/29/2021
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