Basic Information
| Provider Information | |||||||||
| NPI: | 1003069758 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAKER | ||||||||
| FirstName: | TANNER | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 405 GLENLEA DR | ||||||||
| Address2: | |||||||||
| City: | FRIENDSWOOD | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775463801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9794531247 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2537 S GESSNER RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770632032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7135596929 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/28/2008 | ||||||||
| LastUpdateDate: | 09/27/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | N9348 | TX | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.