Individual
KIRSTEN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1950 HUEBNER ROAD, SAN ANTONIO, TX 78240
(210) 334-0012
(210) 334-0196
Mailing address
427 STONEWOOD ST, SAN ANTONIO, TX 78216-1625
(210) 241-6362
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12622
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA12622
PA-C TEXAS STATE LICENSE
TX
Enumeration date
03/29/2017
Last updated
05/18/2021
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