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NPI Code Detail

MEDICARE: JENNIFER M BAQUERA

MEDICARE: JENNIFER M BAQUERA
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
1225100000XPhysical Therapist1175862TX

General Provider Information

NPI Number : 1437347119
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER M BAQUERA
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-221-5033
Fax Number :
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-221-5033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2007
Last Update Date : 01/26/2026

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Directions to “ JENNIFER M BAQUERA ” Practice Location

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