Organization
BAYLOR COLLEGE OF MEDICINE TEEN HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. PEGGY BRZESZKIEWICZ SMITH PHD. (PROFESSOR DIRECTOR)
(713) 873-3601
Entity
Organization
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-3601
(713) 873-3610
Mailing address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-3601
(713) 873-3610
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084887101
TPI NUMBER
TX
Enumeration date
03/05/2007
Last updated
02/05/2013
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