Provider Demographics
NPI:1194420836
Name:BAKER, CHRYSTAL SHYETTE
Entity type:Individual
Prefix:
First Name:CHRYSTAL
Middle Name:SHYETTE
Last Name:BAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8578 COUNTY ROAD 301
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75160-7714
Mailing Address - Country:US
Mailing Address - Phone:469-475-1238
Mailing Address - Fax:
Practice Address - Street 1:8578 COUNTY ROAD 301
Practice Address - Street 2:
Practice Address - City:TERRELL
Practice Address - State:TX
Practice Address - Zip Code:75160-7714
Practice Address - Country:US
Practice Address - Phone:469-475-0059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator