Doctor Name: | CAROL ELAINE BAKER |
NPI Number: | 1144267808 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 250654 |
Business Practice Address: | 2300 Lohmans Spur Suite 106 Lakeway, TX - 787346206 |
Business Phone Number: | 5122637133 |
Business Fax Number: | 5122630451 |
Mailing Address: | 2300 Lohmans Spur, Suite 106 LAKEWAY |
State: | TX |
Postal Code: | 787346206 |
Phone Number: | 5122637133 |
Fax Number: | 5122630451 |
NPI Enumeration Date: | 06/01/2006 |
NPI Last Update Date: | 10/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 250654 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |