Individual
HOLLY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19006 BLUE VANGA LN, CYPRESS, TX 77429-6568
(713) 819-7225
Mailing address
19006 BLUE VANGA LN, CYPRESS, TX 77429-6568
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
19301899
TX
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/29/2015
Last updated
03/19/2019
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