Organization
BRONTE D BAKER OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRONTE D BAKER OD (OWNER)
(361) 358-3218
Entity
Organization
Contact information
Practice address
1209 N ST MARYS STREET, BEEVILLE, TX 78102
(361) 358-3218
(361) 358-3281
Mailing address
1209 N ST MARYS STREET, BEEVILLE, TX 78102
(361) 358-3218
(361) 358-3281
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2224TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E98A
BLUE CROSS BLUE SHIELD OF TEXAS
TX
05
—
093501701
—
TX
01
—
410011275
RAILROAD MEDICARE
—
Enumeration date
06/06/2008
Last updated
06/06/2008
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