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Organization

BAYLOR COLLEGE OF MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN R. NICKENS (COO, FACULTY GROUP PRACTICE)
(713) 798-2406
Entity
Organization

Contact information

Practice address
7200B CAMBRIDGE ST, E1.108, MS BCM 631, HOUSTON, TX 77030-4202
(713) 798-2020
(713) 798-2025
Mailing address
7200B CAMBRIDGE ST, E1.108, MS BCM 631, HOUSTON, TX 77030-4202
(713) 798-2020
(713) 798-2025

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
06/04/2010
Last updated
06/04/2010
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