| Mrs Briana Gattis Baker, MS, RD, LD | |
|
220 Bob White Dr, Red Oak, TX 75154-4633 | |
| (409) 782-9641 | |
| Not Available |
| Full Name | Mrs Briana Gattis Baker |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 220 Bob White Dr, Red Oak, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972035970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT84748 (Texas) | Primary |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Briana Gattis Baker, MS, RD, LD 220 Bob White Dr, Red Oak, TX 75154-4633 Ph: (409) 782-9641 | Mrs Briana Gattis Baker, MS, RD, LD 220 Bob White Dr, Red Oak, TX 75154-4633 Ph: (409) 782-9641 |
Lacey Renette Mcmillian, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 111 Laurel Oak Dr, Red Oak, TX 75154 Phone: 469-464-8912 | |
Tracie Little, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 629 William Dr, Red Oak, TX 75154 Phone: 512-436-2350 | |
Ivon Burciaga, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 309 Baldwin St, Red Oak, TX 75154 Phone: 469-552-3394 |