Individual
KELTY RUTH BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6560 FANNIN, STE 1260, HOUSTON, TX 77030
(713) 797-0466
(713) 797-0451
Mailing address
6560 FANNIN STREET, SUITE 1260, HOUSTON, TX 77030-2728
(713) 797-0466
(713) 797-0451
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
J6316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038223602
—
TX
Enumeration date
08/15/2006
Last updated
11/03/2016
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