Individual
JOHN A BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9301 N CENTRAL EXPY, SUITE 400, DALLAS, TX 75231-0806
(214) 220-2468
(214) 397-1555
Mailing address
9301 N CENTRAL EXPY STE 400, DALLAS, TX 75231-0805
(214) 220-2468
(214) 720-1982
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G0655
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
G0655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105386001
—
TX
01
—
200021082
MEDICARE RR
TX
01
—
872360
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/19/2006
Last updated
04/22/2020
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