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Organization
BAYLOR COLLEGE OF MEDICINE
Active
Organization
BAYLOR COLLEGE OF MEDICINE
Active
Other names
HCHD Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICKENS (EXECUTIVE DIRECTOR)
(713) 798-1710
Entity
Organization
Contact information
Practice address
1504 TAUB LOOP, DEPT. OF PATHOLOGY, HOUSTON, TX 77030-1608
(713) 873-3200
Mailing address
2 E GREENWAY PLZ, SUITE 900, HOUSTON, TX 77046-0297
(713) 798-1835
(713) 798-1144
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112556901
—
TX
Enumeration date
09/22/2006
Last updated
02/06/2009
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