person
Bret Alan Baker, PA
Medical Physician Assistant in Odessa, Texas
NPI 1912909789

Bret Alan Baker is a Medical Physician Assistant based in Odessa, TX and is specialized in Medical. Bret Alan Baker practices in Odessa, TX and has the professional credentials of PA. The NPI Number for Bret Alan Baker is 1912909789 and holds a License No. PA03994 (Texas).

The current practice location address for Bret Alan Baker is 4222 Wendover Ave, Odessa, TX and can be reached out via phone at 432-552-5656 and via fax at 432-552-0992.

Location: 4222 Wendover Ave, Odessa, TX, 79762-5945
person
Provider Profile Details
NPI Number
1912909789
Provider Name
Bret Alan Baker
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
4222 Wendover Ave, Odessa, TX, 79762-5945
Phone Number
432-552-5656
Fax Number
432-552-0992
Provider Enumeration Date
08/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA03994 01 TX TX LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
4222 Wendover Ave
City
State
Zip
79762-5945
Phone Number
432-552-5656
Fax Number
432-552-0992
person
Provider Business Mailing Address Details
Address
4222 Wendover Ave
City
State
Zip
79762-5945
Phone Number
432-552-5656
Fax Number
432-552-0992
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA03994 (Texas)
Definition
Definition to come...
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