Baek, Peter Sung Jae

Baek, Peter Sung Jae is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Baek, Peter Sung Jae can be contacted via phone (214) 648-6409.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-7208
Phone: (214) 648-6409
Fax: (214) 648-5461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X M2546 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X M2546 Texas

Profile Details

NPI number 1124033097
LBN Legal business name Baek, Peter Sung Jae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated Aug 20th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124033097 NPPES
Texas Other 8S7545 BLUE CROSS
Texas MEDICAID 179289701 BLUE CROSS
Texas MEDICAID 179289702 BLUE CROSS

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