Organization
BAYLOR CAVALCADE TEEN HEALTH
Active
Other names
Baylor Teen Health Clinic- Cavalcade
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA SALAZAR (R.N.)
(713) 440-7313
Entity
Organization
Contact information
Practice address
3815 CAVALCADE ST, HOUSTON, TX 77026-3403
(713) 673-1655
(713) 440-9238
Mailing address
1504 TAUB LOOP BLDG 1A29, HOUSTON, TX 77030-1608
(713) 440-7313
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
16507
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155708
PK
—
Enumeration date
12/04/2015
Last updated
12/04/2015
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