Provider Demographics
NPI:1780185140
Name:BAER, KAREN MAE (RN)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MAE
Last Name:BAER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12139 SONORA CANYON LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-6164
Mailing Address - Country:US
Mailing Address - Phone:713-983-0893
Mailing Address - Fax:
Practice Address - Street 1:3865 CADDO CV
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-4544
Practice Address - Country:US
Practice Address - Phone:979-229-1697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX545329163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health