Individual
MS. KATHRYN SUE BAESL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
123 PECAN BLVD, PITTSBURG, TX 75686-1816
(903) 856-3633
Mailing address
449 CR NE 2045, MT .VERNON, TX 75457
(903) 537-3244
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
207459
TX
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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