Individual
TERESA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
700 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6441
(979) 207-0100
(979) 207-2161
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
103626
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0292989-02
—
TX
01
—
500008958
RR/MEDICARE
TX
01
—
82N619
BLUE SHIELD
TX
Enumeration date
04/07/2006
Last updated
10/13/2025
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