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Individual

DR. EDWARD L BAKER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
125 SOUTH TEXAS ST, CROWLEY, TX 76036
(817) 297-4309
(817) 297-7183
Mailing address
125 SOUTH TEXAS ST, CROWLEY, TX 76036
(817) 297-4309
(817) 297-7183

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F9159
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112163401
TX
Enumeration date
07/28/2006
Last updated
02/01/2010
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