Provider Demographics
NPI:1487667945
Name:BAKER GUIDRY, JANET K (OD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:K
Last Name:BAKER GUIDRY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:21195 KUYKENDAHL RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3307
Mailing Address - Country:US
Mailing Address - Phone:832-843-6369
Mailing Address - Fax:832-843-7280
Practice Address - Street 1:3429 N TWIN CITY HWY
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-2102
Practice Address - Country:US
Practice Address - Phone:409-963-0173
Practice Address - Fax:409-962-8405
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3441-TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112461204Medicaid
TX112461204Medicaid
TX00E93DMedicare UPIN