Individual
DARREN MARC BAYLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5510 ABRAMS RD STE 115, DALLAS, TX 75214-2099
(214) 265-9704
(214) 265-9705
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
(630) 575-7450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1231280
TX
2251E1200X
Ergonomics Physical Therapist
3616
AZ
2251S0007X
Sports Physical Therapist
3616
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11492100
CAQH
AZ
01
—
6696796
GHI
AZ
01
—
952681
AHCCCS
AZ
01
—
AZ0464010
BLUE CROSS OF ARIZONA
AZ
Enumeration date
07/27/2006
Last updated
10/01/2019
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