Provider Demographics
NPI:1124312004
Name:BAKER, JAZMIN MATLOCK (DO)
Entity type:Individual
Prefix:MRS
First Name:JAZMIN
Middle Name:MATLOCK
Last Name:BAKER
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:5310 E 31ST ST FL 13
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-5018
Mailing Address - Country:US
Mailing Address - Phone:918-561-5701
Mailing Address - Fax:918-561-1173
Practice Address - Street 1:717 S HOUSTON AVE STE 200
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74127-9005
Practice Address - Country:US
Practice Address - Phone:918-294-3430
Practice Address - Fax:918-294-3910
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2022-12-09
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Provider Licenses
StateLicense IDTaxonomies
OK3150207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics