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Deidra Lynn Baker, NP
Obstetrics & Gynecology Nurse Practitioner in Longview, Texas
NPI 1962508929

Deidra Lynn Baker is a Obstetrics & Gynecology Nurse Practitioner based in Longview, TX and is specialized in Obstetrics & Gynecology. Deidra Lynn Baker practices in Longview, TX and has the professional credentials of NP. The NPI Number for Deidra Lynn Baker is 1962508929 and holds a License No. 06786 (Texas).

The current practice location address for Deidra Lynn Baker is 804 Medical Circle, Longview, TX and can be reached out via phone at 903-234-8030 and via fax at 903-234-8039.

Location: 804 Medical Circle, Longview, TX, 75605
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Provider Profile Details
NPI Number
1962508929
Provider Name
Deidra Lynn Baker
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
804 Medical Circle, Longview, TX, 75605
Phone Number
903-234-8030
Fax Number
903-234-8039
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
184537201 05 TX
institution
Provider Business Practice Location Address Details
Address
804 Medical Circle
City
State
Zip
75605
Phone Number
903-234-8030
Fax Number
903-234-8039
person
Provider Business Mailing Address Details
Address
804 Medical Circle
City
State
Zip
75605
Phone Number
903-234-8030
Fax Number
903-234-8039
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
06786 (Texas)
Definition
Definition to come...
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