# BAYLOR COLLEGE OF MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Scott Department of Urology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114944733
- **Authorized official:** MR. RICHARD C ALLISON III (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (713) 798-1746

## Contact information

- **Practice address:** 6620 MAIN ST, SUITE 1325, HOUSTON, TX 77030-2348
- **Practice address phone:** (713) 798-4001
- **Practice address fax:** (713) 798-5553
- **Mailing address:** P. O. BOX 4504, HOUSTON, TX 77210-4504
- **Mailing address phone:** (713) 798-4001
- **Mailing address fax:** (713) 798-5553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | H1343 | TX | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 03/01/2012