Provider Demographics
NPI:1588041503
Name:BAKER, KATHERINE (DO)
Entity type:Individual
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First Name:KATHERINE
Middle Name:
Last Name:BAKER
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Gender:F
Credentials:DO
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Mailing Address - Street 1:3551 ROGER BROOKE DRIVE
Mailing Address - Street 2:OPHTHALMOLOGY CLINIC, 2ND FLOOR MEDICAL MALL
Mailing Address - City:FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234
Mailing Address - Country:US
Mailing Address - Phone:210-916-2020
Mailing Address - Fax:210-916-2946
Practice Address - Street 1:3551 ROGER BROOKE DRIVE
Practice Address - Street 2:OPHTHALMOLOGY CLINIC, 2ND FLOOR MEDICAL MALL
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234
Practice Address - Country:US
Practice Address - Phone:210-916-2020
Practice Address - Fax:210-916-2946
Is Sole Proprietor?:No
Enumeration Date:2015-04-28
Last Update Date:2021-08-18
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Provider Licenses
StateLicense IDTaxonomies
NC2019-00739207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology