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Individual

MR. FRED POWELL BAKER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN-PMHNP-BC

Contact information

Practice address
7901 METROPOLIS DR # 78744, VA OUTPATIENT CLINIC, AUSTIN, TX 78744-3111
(512) 823-4342
Mailing address
7901 METROPOLIS DR, VA OUTPATIENT CLINIC, AUSTIN, TX 78744-3111
(512) 823-4342

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
529711
TX
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
RN LIC. NO. 529711
TX

Other

Enumeration date
04/03/2006
Last updated
07/23/2014
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