Organization
BAYLOR COLLEGE OF MEDICINE
Active
Other names
Baylor Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD C ALLISON III (EXECUTIVE DIRECTOR)
(713) 798-1746
Entity
Organization
Contact information
Practice address
1977 BUTLER BLVD, STE 1425, HOUSTON, TX 77030-4101
(713) 798-6131
(713) 798-5535
Mailing address
2 E GREENWAY PLZ, SUITE 900, HOUSTON, TX 77046-0297
(713) 798-6131
(713) 798-5535
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136324401
—
TX
Enumeration date
07/28/2006
Last updated
02/06/2013
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