Individual
LATASHA S BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
901 7TH AVE, FORT WORTH, TX 76104-2722
(682) 885-1050
(682) 885-7572
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
742144
TX
Other
Enumeration date
09/28/2016
Last updated
08/25/2022
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