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NPI Code Detail

MEDICARE: MARK A BAKER DO

MEDICARE:   MARK A BAKER  DO
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
12085R0202XDiagnostic Radiology PhysicianE6221TX

Other Identifiers

General Provider Information

NPI Number : 1871536151
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK A BAKER DO
Provider Business Mailing Address
First Line : 6957 W PLANO PKWY STE 1100
Second Line :
City : PLANO
State : TX
Zip : 75093-1621
Country : US
Telephone Number : 972-395-7533
Fax Number : 972-395-7536
Provider Business Practice Location Address
First Line : 6957 W PLANO PKWY STE 1100
Second Line :
City : PLANO
State : TX
Zip : 75093-1621
Country : US
Telephone Number : 972-395-7533
Fax Number : 972-395-7536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 01/05/2010

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Directions to “ MARK A BAKER DO” Practice Location

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