Provider Demographics
NPI:1144409731
Name:BAIZE, KINDRA C (RNFA)
Entity Type:Individual
Prefix:
First Name:KINDRA
Middle Name:C
Last Name:BAIZE
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 GASTON AVE
Mailing Address - Street 2:STE 751
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1907
Mailing Address - Country:US
Mailing Address - Phone:214-821-6580
Mailing Address - Fax:214-821-6584
Practice Address - Street 1:3600 GASTON AVE
Practice Address - Street 2:STE 751
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1907
Practice Address - Country:US
Practice Address - Phone:214-821-6580
Practice Address - Fax:214-821-6584
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX696327163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant