Individual
EARLY BAGGETT DENISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8355 WALNUT HILL LN, SUITE 200, DALLAS, TX 75231-4219
(214) 369-7661
Mailing address
8355 WALNUT HILL LN, SUITE 200, DALLAS, TX 75231-4219
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L7710
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8P5071
BCBS OF TEXAS
TX
Enumeration date
03/23/2006
Last updated
07/16/2007
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