| Doctor Name: | DR. JEFFREY JOSEPH BAXTER |
| NPI Number: | 1154327799 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | T382004 |
| Business Practice Address: | 119 E Edgewood Dr Friendswood, TX - 775463818 |
| Business Phone Number: | 2819969546 |
| Business Fax Number: | 2819967645 |
| Mailing Address: | Po Box 4572, HOUSTON |
| State: | TX |
| Postal Code: | 772104572 |
| Phone Number: | 2819969546 |
| Fax Number: | |
| NPI Enumeration Date: | 06/27/2005 |
| NPI Last Update Date: | 01/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | T382004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |