Individual
CHRISTOPHER E BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.T., DIP. M.D.T.
Contact information
Practice address
2626 JBS PARKWAY, B101, ODESSA, TX 79761-1958
(432) 550-0422
(432) 550-4463
Mailing address
2626 JBS PARKWAY, B101, ODESSA, TX 79761-1958
(432) 550-0422
(432) 550-4463
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1015725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062991702
—
TX
01
—
83462T
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/16/2005
Last updated
04/29/2014
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