Baker, Roger A.

Baker, Roger A. is an individual health care provider with primary practice located at 816 W Cannon St , Fort Worth TX 76104-3146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Baker, Roger A. can be contacted via phone (817) 321-0387.

Contact Information

Primary practice address
816 W Cannon St Fort Worth TX 76104-3146
Phone: (817) 321-0387
Fax: (468) 522-6889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D4023 Texas

Profile Details

NPI number 1548208754
LBN Legal business name Baker, Roger A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Feb 19th, 2014 - about 10 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 1548208754 NPPES
Texas MEDICAID 121715008
Texas MEDICAID 285250104
Texas MEDICAID 121715004
Texas MEDICAID 139726709

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