Individual
DALE PATRICK BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3403B GARDEN VILLA LN, AUSTIN, TX 78704-6915
(855) 832-6727
(772) 675-9100
Mailing address
1480 CABELAS DR APT 822, BUDA, TX 78610-6216
(713) 419-1297
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT-20-127332
TX
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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