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Individual

TONYA MICHELLE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1291 W CAMPBELL RD STE 100, RICHARDSON, TX 75080-2946
(972) 449-7677
Mailing address
3412 WALNUT LN, MELISSA, TX 75454-0139

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1088166
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
1088166
TX

Other

Enumeration date
07/21/2022
Last updated
01/26/2024
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