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: Medicare Enrolled Practice Location: 309 Baldwin St, Red Oak, TX 75154 Phone: 469-552-3394 |