Individual
TEDDY D BAXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11182 FARM ROAD 197, ARTHUR CITY, TX 75411-3306
(903) 732-3031
Mailing address
11182 FARM ROAD 197, ARTHUR CITY, TX 75411-3306
(903) 732-3031
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
876319
TX
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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