Organization
BAYLOR COLLEGE OF MEDICINE
Active
Other names
BCM Physicians - SurgarLand
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD ALLISON (DIRECTOR)
(713) 798-1746
Entity
Organization
Contact information
Practice address
15200 SOUTHWEST FWY, SUITE 175, SUGAR LAND, TX 77478-3845
(713) 798-2500
Mailing address
15200 SOUTHWEST FWY, SUITE 175, SUGAR LAND, TX 77478-3845
(713) 798-2500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
333432803
MEDICAID - CSHCN
TX
05
—
3334328041
—
TX
Enumeration date
10/31/2014
Last updated
11/03/2014
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