Individual
MR. BRETT SHERMAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
100 MEDICAL DR, LAKE JACKSON, TX 77566-5674
(979) 297-4411
Mailing address
1415 NORTH ROAD, LAKE JACKSON, TX 77566
(979) 236-7727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00617
TX
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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