Provider Demographics
NPI:1598739658
Name:BAKER, KAREN KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:KAY
Last Name:BAKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5709 W LOVERS LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75209-5115
Mailing Address - Country:US
Mailing Address - Phone:469-913-8940
Mailing Address - Fax:214-366-0752
Practice Address - Street 1:5709 W LOVERS LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209-5115
Practice Address - Country:US
Practice Address - Phone:469-913-8940
Practice Address - Fax:214-366-0752
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2640207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A7720OtherBC/BS
TX146009901Medicaid
TX8307M5Medicare PIN
TX8A7720OtherBC/BS