Organization
BAYCENTER FAMILY PHYSICIAN, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARICELA ROMERO (MANAGER)
(281) 991-0444
Entity
Organization
Contact information
Practice address
4343 FAIRMONT PKWY, PASADENA, TX 77504-3305
(281) 991-0444
Mailing address
4343 FAIRMONT PKWY, PASADENA, TX 77504-3305
(281) 991-0444
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
K3839
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080180411
RR MEDICARE
TX
05
—
145830901
—
TX
01
—
8B3010
BC/BS
TX
Enumeration date
01/14/2008
Last updated
02/18/2025
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