MEDICARE: DANIEL R. BAKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	227800000X	Certified Respiratory Therapist

General Provider Information

NPI Number	:	1023619327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL R. BAKER

Provider Business Mailing Address
First Line	:	102 BABCOCK RD STE 103
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-3953
Country	:	US
Telephone Number	:	210-248-9636
Fax Number	:	210-248-9746

Provider Business Practice Location Address
First Line	:	102 BABCOCK RD STE 103
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-3953
Country	:	US
Telephone Number	:	210-248-9636
Fax Number	:	210-248-9746

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	ERIKA QUINTANILLA
Credential	:
Telephone Number	:	210-559-5549

Provider Enumeration Date	:	11/03/2020
Last Update Date	:	11/03/2020

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