Kenneth Baird, M.d., Family Practice | |
3012 E Hebron Pkwy Ste 110 Carrollton TX 75010-4464 | |
(214) 263-3234 | |
Not Available |
Full Name | Kenneth Baird, M.d., Family Practice |
---|---|
Speciality | Clinic/Center |
Location | 3012 E Hebron Pkwy, Carrollton, Texas |
Authorized Official Name and Position | Kenneth E Baird (PHYSICIAN) |
Authorized Official Contact | 2142633234 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kenneth Baird, M.d., Family Practice 3012 E Hebron Pkwy Ste 110 Carrollton TX 75010-4464 Ph: (214) 263-3234 | Kenneth Baird, M.d., Family Practice 3012 E Hebron Pkwy Ste 110 Carrollton TX 75010-4464 Ph: (214) 263-3234 |
NPI Number | 1003053703 |
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Provider Enumeration Date | 01/16/2009 |
Last Update Date | 01/16/2009 |
Medicare PECOS PAC ID | 3173673076 |
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Medicare Enrollment ID | O20090616000279 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003053703 | NPI | - | NPPES |
110489505 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | H5658 (Texas) | Primary |
Provider Name | Kenneth E Baird |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194755256 PECOS PAC ID: 7012808504 Enrollment ID: I20040323001611 |
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