Organization
BAYLOR MEDICINE OUTPATIENT RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD C ALLISON (DIRECTOR)
(713) 798-1746
Entity
Organization
Contact information
Practice address
2457 S BRAESWOOD BLVD, HOUSTON, TX 77030-4305
(713) 798-2300
Mailing address
1 BAYLOR PLZ # 2GR900, HOUSTON, TX 77030-3411
(714) 798-1750
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
05/25/2023
Last updated
06/04/2024
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