Individual
DR. KIMBERLY VAIL BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9835 N LAKE CREEK PKWY STE 120, AUSTIN, TX 78717-6210
(737) 229-3400
(737) 229-3401
Mailing address
9835 N LAKE CREEK PKWY STE 120, AUSTIN, TX 78717-6210
(737) 229-3400
(737) 229-3401
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J8435
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102963901
—
TX
Enumeration date
12/22/2005
Last updated
04/15/2024
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