| Dan R Baker, MD, PA | |
|
1 Chisholm Trail Rd Ste 450 Round Rock TX 78681-5094 | |
| (512) 496-0394 | |
| (512) 249-1719 |
| Full Name | Dan R Baker, MD, PA |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Chisholm Trail Rd Ste 450, Round Rock, Texas |
| Authorized Official Name and Position | Dana Ray Baker (MD/OWNER) |
| Authorized Official Contact | 5124960394 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dan R Baker, MD, PA 402 W Palm Valley Blvd Ste A123 Round Rock TX 78664-4200 Ph: (512) 496-0394 | Dan R Baker, MD, PA 1 Chisholm Trail Rd Ste 450 Round Rock TX 78681-5094 Ph: (512) 496-0394 |
| NPI Number | 1295917730 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 03/29/2021 |
| Certification Date | 03/29/2021 |
| Medicare PECOS PAC ID | 5597735811 |
|---|---|
| Medicare Enrollment ID | O20040726001283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295917730 | NPI | - | NPPES |
| 0001EV | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207QS1201X | Family Medicine - Sleep Medicine | F3729 (Texas) | Primary |
| Provider Name | Dana R Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073613212 PECOS PAC ID: 1254301575 Enrollment ID: I20100621000682 |
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