Individual
JEREMY SCOTT BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2043 FM 423, STE 110, LITTLE ELM, TX 75068-6640
(469) 362-6522
(469) 362-6532
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2004-01614
NC
208000000X
Pediatrics Physician
Primary
M7023
TX
Other
Enumeration date
10/02/2006
Last updated
05/06/2021
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