Provider Demographics
NPI:1407523848
Name:BAIZAN, CAROLINE K
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:K
Last Name:BAIZAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2714 JOANEL ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5304
Mailing Address - Country:US
Mailing Address - Phone:713-402-5046
Mailing Address - Fax:713-626-3667
Practice Address - Street 1:2714 JOANEL ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5304
Practice Address - Country:US
Practice Address - Phone:713-402-5046
Practice Address - Fax:713-626-3667
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79085101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health