Organization
PETER BAEK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER S BAEK MD (PRESIDENT)
(817) 516-8811
Entity
Organization
Contact information
Practice address
12222 N CENTRAL EXPY, SUITE 400, DALLAS, TX 75243-3755
(817) 516-8811
(817) 516-8444
Mailing address
PO BOX 93264, SOUTHLAKE, TX 76092-0112
(817) 516-8811
(817) 516-8444
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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