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NPI Code Detail

MEDICARE: DR. KIMBERLY VAIL BAXTER MD

MEDICARE: DR. KIMBERLY VAIL BAXTER MD
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
1208000000XPediatrics PhysicianJ8435TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396722146
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY VAIL BAXTER MD
Provider Business Mailing Address
First Line : 9835 N LAKE CREEK PKWY STE 120
Second Line :
City : AUSTIN
State : TX
Zip : 78717-6210
Country : US
Telephone Number : 737-229-3400
Fax Number : 737-229-3401
Provider Business Practice Location Address
First Line : 9835 N LAKE CREEK PKWY STE 120
Second Line :
City : AUSTIN
State : TX
Zip : 78717-6210
Country : US
Telephone Number : 737-229-3400
Fax Number : 737-229-3401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 04/15/2024

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Directions to “ DR. KIMBERLY VAIL BAXTER MD” Practice Location

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