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NPI Code Detail

MEDICARE: MISTY BALDWIN

MEDICARE: MISTY BALDWIN
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
1172V00000XCommunity Health WorkerTX

General Provider Information

NPI Number : 1881400380
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISTY BALDWIN
Provider Business Mailing Address
First Line : 3502 N WINFREE ST
Second Line :
City : DAYTON
State : TX
Zip : 77535-1423
Country : US
Telephone Number : 832-721-8688
Fax Number :
Provider Business Practice Location Address
First Line : 3502 N WINFREE ST
Second Line :
City : DAYTON
State : TX
Zip : 77535-1423
Country : US
Telephone Number : 832-721-8688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2024
Last Update Date : 12/09/2024

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Directions to “ MISTY BALDWIN ” Practice Location

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