Organization
BAYLOR COLLEGE OF MEDICINE RADIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID TITUS (AUTHORIZED OFFICIAL)
(713) 481-3533
Entity
Organization
Contact information
Practice address
4600 E SAM HOUSTON PKWY S, PASADENA, TX 77505-3948
(713) 481-3594
(713) 481-3513
Mailing address
PO BOX 3119, HOUSTON, TX 77253-3119
(713) 481-3594
(713) 481-3513
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088QC
BCBSTX
TX
05
—
191613201
—
TX
05
—
212116201
—
TX
Enumeration date
08/22/2007
Last updated
04/26/2017
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