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Dale Patrick Baker

Technician, Other in Austin, TX. Individual provider (NPI-1).

NPI number1083228704
StatusActive
Last updated in NPPESSep 1, 2020

Details

NPI
1083228704
Entity type
Individual (NPI-1)
Name
Dale Patrick Baker
Sex
Male
Sole proprietor
No
Enumeration date
Sep 1, 2020
Certification date
Aug 31, 2020
Last updated
Sep 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, OtherRBT-20-127332TXYes

Practice location

3403b Garden Villa Ln
Austin, TX 78704-6915

Phone 855-832-6727 · Fax 772-675-9100

Mailing address

1480 Cabelas Dr Apt 822
Buda, TX 78610-6216

Phone 713-419-1297

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Other Technician, Other providers in Austin, TX

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