Individual
DR. BYRON WYCKE BAKER
Active
Individual
DR. BYRON WYCKE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G4804
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050079715
RAILROAD MEDICARE
TX
05
—
119218906
—
TX
01
—
8A1189
TX-BLUE SHIELD
—
Enumeration date
01/04/2007
Last updated
02/07/2017
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