45D1097070 CLIA NUMBER - KENNETH BAIRD, MD, FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 45D1097070

Facility Name: KENNETH BAIRD, MD, FAMILY PRACTICE

Facility Address:
3012 E HEBRON PKWY, SUITE 110
CARROLLTON, TX
ZIP 75010
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Facility Phone Number: 214 263-3234

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194755256

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D1097070
LAB Type	Physician Office
Facility Name	KENNETH BAIRD, MD, FAMILY PRACTICE
Street	3012 E HEBRON PKWY, SUITE 110
City	CARROLLTON
State	TX
ZIP	75010
Phone	214 263-3234
CertificateType	4
CertificateEffectiveDate	3/18/2023
CertificateExpirationDate	3/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024