Baez, Pedro Angel

Baez, Pedro Angel is an sole proprietor health care provider with primary practice located at 1499 E. Marshall Ave , Longview TX 75601-4655. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Baez, Pedro Angel can be contacted via phone (787) 878-3036.

Contact Information

Primary practice address
1499 E. Marshall Ave Longview TX 75601-4655
Phone: (787) 878-3036
Fax: (903) 242-9778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1829 Puerto Rico
Dental Providers / Dentist 122300000X 27948 Texas

Profile Details

NPI number 1508873258
LBN Legal business name Baez, Pedro Angel
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Oct 10th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508873258 NPPES
Texas MEDICAID 27948

Popular Providers