Individual
IAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
22999 HWY 59 N, KINGWOOD, TX 77339-4412
(281) 348-8000
Mailing address
22999 HWY 59 N, KINGWOOD, TX 77339-4412
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16933
TX
Other
Enumeration date
07/06/2023
Last updated
08/16/2023
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