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Organization
BAYLOR COLLEGE OF MEDICINE
Active
Organization
BAYLOR COLLEGE OF MEDICINE
Active
Other names
HCHD Physical Medicine
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, HOUSTON, TX 77030-1608
(713) 873-2000
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
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
06/19/2008
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