Organization
BAYLOR LYNDON B JOHNSON
Active
Other names
Baylor Teen Clinic LBJ
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA SALAZAR (R.N.)
(713) 440-7313
Entity
Organization
Contact information
Practice address
5656 KELLEY ST, HOUSTON, TX 77026-1967
(713) 636-5612
(713) 440-9238
Mailing address
1504 TAUB LOOP # 1A29, HOUSTON, TX 77030-1608
(713) 440-7313
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7258
TX
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2156023
PK
—
Enumeration date
12/18/2015
Last updated
12/18/2015
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