Individual
NOEL SUSAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
910 E HOUSTON ST STE 330, TYLER, TX 75702-8368
(903) 510-8848
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
K5791
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106201002
—
TX
05
—
284588501
—
TX
01
—
752616977052
TRICARE
TX
01
—
752616977095
TRICARE
TX
01
—
752616977103
TRICARE
TX
01
—
8W6743
BCBS
TX
Enumeration date
03/29/2006
Last updated
04/24/2025
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