MEDICARE: MARCUS T BAKER CPO/L

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	335E00000X	Prosthetic/Orthotic Supplier	ORT0000000093	TN
2	335E00000X	Prosthetic/Orthotic Supplier	101	GA
3	335E00000X	Prosthetic/Orthotic Supplier	PRO0000000069	TN
4	335E00000X	Prosthetic/Orthotic Supplier	1829	TX
5	332B00000X	Durable Medical Equipment & Medical Supplies	332B00000X	MS
6	335E00000X	Prosthetic/Orthotic Supplier	335E00000X	MS

Other Identifiers

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

General Provider Information

NPI Number	:	1316008204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCUS T BAKER CPO/L

Provider Business Mailing Address
First Line	:	3050 S CENTER ST STE 120
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-2154
Country	:	US
Telephone Number	:	682-323-5921
Fax Number	:	682-323-5974

Provider Business Practice Location Address
First Line	:	3050 S CENTER ST STE 120
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-2154
Country	:	US
Telephone Number	:	682-323-5921
Fax Number	:	682-323-5974

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	11/28/2025

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Directions to “ MARCUS T BAKER CPO/L” Practice Location

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