Individual
ADRIAN BAEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 LAWSON FARMS DR, MIDLOTHIAN, TX 76065-5694
(111) 111-1111
Mailing address
308 TRAN HAVEN CT, GRANBURY, TX 76048-4346
(760) 799-2746
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
836815
TX
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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