Individual provider · NPI-1
Caitlyn Baker
Physician Assistant · Round Rock, TX
NPI number1023853710
StatusActive
Last updated in NPPESJun 26, 2024
Details
- NPI
- 1023853710
- Entity type
- Individual (NPI-1)
- Name
- Caitlyn Baker
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2024
- Certification date
- Jun 26, 2024
- Last updated
- Jun 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA18112 | TX | Yes |
Practice location
1001 Little Oak WayRound Rock, TX 78681-5517
Phone 512-255-8868
Mailing address
605 Hereford LoopHutto, TX 78634-2056
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