Individual
DR. JACK LEE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10912 EAST FWY, HOUSTON, TX 77029
(713) 451-2900
(713) 451-2103
Mailing address
4411 BLUEBONNET DR STE 109, STAFFORD, TX 77477-2912
(281) 772-7749
(281) 574-1420
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J2489
TX
2085R0202X
Diagnostic Radiology Physician
Primary
J2489
TX
Other
Enumeration date
08/19/2005
Last updated
08/26/2019
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