Organization
BAYLOR COLLEGE OF MEDICINE
Active
Other names
BAYLOR PATHOLOGY CONSULTANTS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD C. ALLISON (AUTHORIZED OFFICIAL)
(713) 798-1746
Entity
Organization
Contact information
Practice address
2575 W BELLFORT AVE STE 200, HOUSTON, TX 77054
(713) 432-1500
(713) 349-9641
Mailing address
PO BOX 676512, DALLAS, TX 75267-6512
(877) 257-4123
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
45D0660117
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025384101
—
TX
01
—
690007351
RAILROAD MEDICARE
TX
01
—
CL5104
BCBS
TX
Enumeration date
12/05/2005
Last updated
02/12/2026
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