Individual
MRS. ALISA DAWN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07793
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356708301
—
TX
05
—
356708302
—
TX
Enumeration date
03/12/2007
Last updated
04/09/2020
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