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SHIRLEY JEANNE BAKER PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1972549947

Individual Registrant:
 SHIRLEY JEANNE BAKER PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
607 LASSATER  CENTERVILLE, TX 78533 US
Tel: 903-536-3687  Fax: 903-356-7723

Contact information for business:
1500 UNIVERSITY DR E #100 COLLEGE STATION, TX 77840-2600 US
Tel: 979-846-1100  Fax: 979-260-9390

Registration Information:
NPI: 1972549947
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
TXPA02294

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
154467801TX05
187842301TX05
NPI AGENCY1821185299TX01
NPI CLINIC1568519122TX01
185649401TX05
000951608TX05
154467803TX05
183142201TX05
TAX ID741715140TX01




HEALTH CARE JOBS TX - Page 1



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