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Organization
BAYLOR COLLEGE OF MEDICINE TEEN HEALTH CLINIC
Active
Organization
BAYLOR COLLEGE OF MEDICINE TEEN HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. PEGGY BRZESZKIEWICZ SMITH PHD. (PROFESSOR DIRECTOR)
(713) 873-3601
Entity
Organization
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-3601
(713) 873-3610
Mailing address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-3601
(713) 873-3610
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084887101
TPI NUMBER
TX
Enumeration date
03/05/2007
Last updated
02/05/2013
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