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Organization

BAYLOR COLLEGE OF MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW M FARACH M.D. (RESIDENT PHYSICIAN)
(713) 798-6362
Entity
Organization

Contact information

Practice address
ONE BAYLOR PLAZA, DEPARTMENT OF RADIOLOGY BCM360, HOUSTON, TX 77030-3498
(713) 798-6362
Mailing address
ONE BAYLOR PLAZA, DEPARTMENT OF RADIOLOGY BCM360, HOUSTON, TX 77030-3498
(713) 798-6362

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
BP20040820
TX
261QV0200X
VA Clinic/Center
Primary
BP20040820
TX

Other

Enumeration date
07/26/2011
Last updated
07/26/2011
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