Organization
BAYLOR COLLEGE OF MEDICINE
Active
Other names
Ophthalmology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD C ALLISON III (DIRECTOR)
(713) 798-1746
Entity
Organization
Contact information
Practice address
1977 BUTLER BLVD, HOUSTON, TX 77030-4101
(713) 798-6100
Mailing address
PO BOX 4771, HOUSTON, TX 77210-4771
(713) 798-6100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131018701
—
TX
05
—
131018703
—
TX
Enumeration date
11/14/2006
Last updated
03/01/2012
Update your record
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