Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | F7931 | TX |
NPI | 1720035637 |
---|---|
Provider Name | Dr. Barbara J Stark Baxter |
First Address | Dallas, TX 75225-6301 |
Second Address | Dallas, TX 75225-6301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 03/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B26661 | (02) | TX |