Organization
BAKER SPINE AND SPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY RAY BAKER D.C. (PRESIDENT)
(972) 635-9115
Entity
Organization
Contact information
Practice address
620 E LAMAR ST, ROYSE CITY, TX 75189-3900
(972) 635-9115
(972) 635-9119
Mailing address
PO BOX 739, ROYSE CITY, TX 75189-0739
(972) 635-9115
(972) 635-9119
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12082
TX
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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