Individual
MR. JOHN ALLEN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
809 NEWPORT RD, FORT WORTH, TX 76120
(214) 505-1208
Mailing address
809 NEWPORT RD, FORT WORTH, TX 76120
(214) 505-1208
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
680900
TX
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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