Individual
DAVID P BAKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6565 FANNIN ST, SUITE B452, HOUSTON, TX 77030-2703
(713) 441-3620
Mailing address
6565 FANNIN ST, SUITE B452, HOUSTON, TX 77030-2703
(713) 441-3620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04551
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184547101
—
TX
05
—
184547102
—
TX
05
—
184547103
—
TX
05
—
184547104
—
TX
01
—
8Y0323
BLUE CROSS BLUE SHIELD
TX
01
—
P01030484
RR MEDICARE
TX
01
—
P01333574
RR MEDICARE
TX
Enumeration date
07/19/2006
Last updated
08/18/2016
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