# BAYLOR COLLEGE OF MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Department of Obstetrics and Gynecology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972516557
- **Authorized official:** MR. JOHN NICKENS (DEPARTMENT ADMINISTRATOR)
- **Authorized official phone:** (713) 798-1714

## Contact information

- **Practice address:** 6620 MAIN ST, SUITE 1450, HOUSTON, TX 77030-2348
- **Practice address phone:** (713) 798-7500
- **Practice address fax:** (713) 798-6956
- **Mailing address:** PO BOX 4775, HOUSTON, TX 77210-4775
- **Mailing address phone:** (713) 798-5696
- **Mailing address fax:** (713) 798-1144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 11/01/2007