Provider Demographics
NPI:1043349277
Name:ACKERMAN, BAER MAX (MD)
Entity Type:Individual
Prefix:
First Name:BAER
Middle Name:MAX
Last Name:ACKERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1700 ALMA DR
Mailing Address - Street 2:SUITE 480
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-6937
Mailing Address - Country:US
Mailing Address - Phone:972-422-2008
Mailing Address - Fax:972-422-4014
Practice Address - Street 1:1700 ALMA DR
Practice Address - Street 2:SUITE 480
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6937
Practice Address - Country:US
Practice Address - Phone:972-422-2008
Practice Address - Fax:972-422-4014
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF36922084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry