MEDICARE: RONALD FREDRICK BAKER 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
1	207Q00000X	Family Medicine Physician	L5234	TX

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

General Provider Information

NPI Number	:	1427052042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD FREDRICK BAKER MD

Provider Business Mailing Address
First Line	:	1418 B GEROGE DIETER
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7601
Country	:	US
Telephone Number	:	915-855-7900
Fax Number	:	915-855-7755

Provider Business Practice Location Address
First Line	:	1418 B GEORGE DIETER AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7601
Country	:	US
Telephone Number	:	915-855-7900
Fax Number	:	915-855-7755

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

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	10/14/2011

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