Individual
ASHLEY BAIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7300 BOSQUE BLVD, WACO, TX 76710-4023
(254) 202-2600
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15590
TX
Other
Enumeration date
04/01/2022
Last updated
07/06/2022
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