Organization
BAYLOR COLLEGE OF MEDICINE
Active
Other names
Baylor Physical Medicine & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD C. ALLISON III M.B.A. (ADMINISTRATOR)
(713) 798-1746
Entity
Organization
Contact information
Practice address
6620 MAIN ST, SUITE 1375, HOUSTON, TX 77030-2348
(713) 798-6198
(713) 798-4688
Mailing address
2 GREENWAY PLZ, SUITE 900, HOUSTON, TX 77046-0297
(713) 798-5217
(713) 798-7259
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R77W
BCBS OF TEXAS
TX
01
—
023350401
CSHCN
TX
05
—
084899601
—
TX
Enumeration date
06/09/2006
Last updated
02/06/2013
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