Shirley Jeanne Baker, PA-C | |
623 W Lassater, Centerville, TX 75833-1959 | |
(903) 289-1070 | |
(936) 744-1419 |
Full Name | Shirley Jeanne Baker |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 623 W Lassater, Centerville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972549947 | NPI | - | NPPES |
1568519122 | Other | TX | NPI CLINIC |
183142201 | Medicaid | TX | |
185649401 | Medicaid | TX | |
187842301 | Medicaid | TX | |
000951608 | Medicaid | TX | |
154467803 | Medicaid | TX | |
741715140 | Other | TX | TAX ID |
154467801 | Medicaid | TX | |
1821185299 | Other | TX | NPI AGENCY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA02294 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Shirley Jeanne Baker, PA-C 1500 University Dr E, #100, College Station, TX 77840-2600 Ph: (979) 846-1100 | Shirley Jeanne Baker, PA-C 623 W Lassater, Centerville, TX 75833-1959 Ph: (903) 289-1070 |
Mr. Glen Ross Pettenger, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 102 West Main Street, Centerville, TX 75833 Phone: 903-536-2313 Fax: 903-536-2207 |