MEDICARE: LINDA BAKER O.D. AND ASSOCIATES PLLC

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
2	152W00000X	Optometrist

General Provider Information

NPI Number	:	1780997551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDA BAKER O.D. AND ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	14711 CHANT ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78248-1109
Country	:	US
Telephone Number	:	210-479-7907
Fax Number	:	210-479-4057

Provider Business Practice Location Address
First Line	:	14711 CHANT ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78248-1109
Country	:	US
Telephone Number	:	210-479-7907
Fax Number	:	210-479-4057

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LINDA BAKER
Credential	:	O.D.
Telephone Number	:	210-602-7381

Provider Enumeration Date	:	07/21/2010
Last Update Date	:	10/13/2015

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