Individual
MRS. ASHLEY GLOVER BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
50 HILLCREST MEDICAL BLVD STE 206, WACO, TX 76712-8954
(254) 202-7950
(254) 202-7999
Mailing address
PO BOX 848491, DALLAS, TX 75284-8491
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86N514
BCBS
TX
Enumeration date
02/28/2006
Last updated
02/23/2022
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