NPI | 1295917730 |
---|---|
Former Legal Business Name | DAN R BAKER, MD PA |
Entity Type | Organization |
Authorized Contact | DANA RAY BAKER Md/Owner 512-496-0394 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: TX F3729) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2007-11-27 |
Last Update Date | 2021-03-29 |