Provider Demographics
NPI:1376257097
Name:BAEZA, FRANCISCO XAVIER (APRN)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:XAVIER
Last Name:BAEZA
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 GOLDER AVE
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-5043
Mailing Address - Country:US
Mailing Address - Phone:432-640-2524
Mailing Address - Fax:
Practice Address - Street 1:315 GOLDER AVE
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-5043
Practice Address - Country:US
Practice Address - Phone:432-640-2524
Practice Address - Fax:432-640-4773
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1103027363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily