Individual
BRUCE BOULAND BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 743-1141
(254) 743-0423
Mailing address
PO BOX 4044, TEMPLE, TX 76505-4044
(254) 743-1141
(254) 743-0423
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D3141
TX
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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