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NPI Code Detail

MEDICARE: ROBIN T BAYLESS MD

MEDICARE:   ROBIN T BAYLESS  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
1207L00000XAnesthesiology Physician16174OK

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 : 1134189939
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN T BAYLESS MD
Provider Business Mailing Address
First Line : 3333 NW 63RD ST STE 106
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73116-3710
Country : US
Telephone Number : 405-296-3270
Fax Number : 918-720-0270
Provider Business Practice Location Address
First Line : 11200 N PORTLAND AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-5045
Country : US
Telephone Number : 405-272-9644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 08/08/2024

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Directions to “ ROBIN T BAYLESS MD” Practice Location

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