Doctor Name: | MRS. GAYLA HAMBY BAKER |
NPI Number: | 1356437909 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 532608 |
Business Practice Address: | 2645 Nall St. Port Neches, TX - 77651 |
Business Phone Number: | 4097293393 |
Business Fax Number: | 4097294404 |
Mailing Address: | 2645 Nall St., PORT NECHES |
State: | TX |
Postal Code: | 77651 |
Phone Number: | 4097293393 |
Fax Number: | 4097294404 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 532608 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |