Individual
MARK A BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6957 W PLANO PKWY STE 1100, PLANO, TX 75093-1621
(972) 395-7533
(972) 395-7536
Mailing address
6957 W PLANO PKWY STE 1100, PLANO, TX 75093-1621
(972) 395-7533
(972) 395-7536
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E6221
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129139508
—
TX
05
—
129139510
—
TX
05
—
129139511
—
TX
05
—
129139515
—
TX
05
—
204693003
—
TX
Enumeration date
06/14/2006
Last updated
01/05/2010
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