Individual
PAUL BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2009 TANGLEWOOD DR, EDMOND, OK 73013-2716
(405) 999-7776
Mailing address
2009 TANGLEWOOD DR, EDMOND, OK 73013-2716
(405) 999-7776
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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