Baeza, Michael E

Baeza, Michael E is an individual health care provider with primary practice located at 4519 N Garfield St Suite 15, Midland TX 79705-3415. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Baeza, Michael E can be contacted via phone (432) 699-0952.

Contact Information

Primary practice address
4519 N Garfield St Suite 15 Midland TX 79705-3415
Phone: (432) 699-0952
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 708712 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP119817 Texas

Profile Details

NPI number 1255636916
LBN Legal business name Baeza, Michael E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2011
Last updated Feb 21st, 2023 - about 2 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 1255636916 NPPES
Texas MEDICAID 219995204
Texas Other 219995205
Texas Other P01072435
Texas Other 8919UC

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