Individual
EILEEN T BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4002 S LOOP 256, SUITE N, PALESTINE, TX 75801-8491
(903) 677-1000
(903) 677-5586
Mailing address
PO BOX 1849, PALESTINE, TX 75802-1849
(903) 677-1000
(903) 677-5586
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
254696
TX
367500000X
Certified Registered Nurse Anesthetist
R869233
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01674381
—
MS
05
—
130162413
—
TX
01
—
89762U
BLUECROSS BLUE SHIELD
TX
Enumeration date
06/21/2006
Last updated
07/08/2009
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