Individual
MRS. PATRICIA BAXTER-BUBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 N. AVE B, CRAWFORD, TX 76638-3227
(254) 486-2162
(254) 486-9298
Mailing address
140 N. AVE B, CRAWFORD, TX 76638-3227
(254) 486-2162
(254) 486-9298
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
10794
TX
332S00000X
Hearing Aid Equipment
Primary
10794
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144554551
EIN
TX
Enumeration date
10/01/2009
Last updated
02/17/2010
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