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Organization
UT PHYSICIANS SPECIALTY SERVICES
Active
Organization
UT PHYSICIANS SPECIALTY SERVICES
Active
Other names
UT PHYSICIANS ACO BAYTOWN CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW R CASAS (CHIEF OPERATING OFFICER)
(832) 325-7325
Entity
Organization
Contact information
Practice address
1602 GARTH RD, BAYTOWN, TX 77520-7752
(281) 837-2700
(281) 837-2708
Mailing address
PO BOX 301448, DALLAS, TX 75303-1448
(281) 837-2700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195996727
—
TX
Enumeration date
09/14/2018
Last updated
09/14/2018
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