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NPI Code Detail

MEDICARE: ALBERT BAXTER

MEDICARE: ALBERT BAXTER
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
1225CA2400XAssistive Technology Practitioner Rehabilitation CounselorATP565TX

General Provider Information

NPI Number : 1689535411
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALBERT BAXTER
Provider Business Mailing Address
First Line : 1100 HATCHER LN
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-3530
Country : US
Telephone Number : 931-377-2273
Fax Number :
Provider Business Practice Location Address
First Line : 2631 GRAVEL DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76118-6982
Country : US
Telephone Number : 972-647-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2025
Last Update Date : 11/20/2025

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Directions to “ ALBERT BAXTER ” Practice Location

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