Organization
BAYLOR COLLEGE OF MEDICINE
Active
Other names
HCHD Ophthalmology
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
(713) 873-2000
Mailing address
2 GREENWAY PLAZA, SUITE 900, HOUSTON, TX 77046
(713) 798-1835
(713) 798-1144
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112641902
—
TX
Enumeration date
10/10/2006
Last updated
06/19/2008
Update your record
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