Organization
BAYLOR ST. LUKE'S MEDICAL GROUP
Active
Other names
St. Luke's Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD C ALLISON III (DIRECTOR)
(713) 798-1746
Entity
Organization
Contact information
Practice address
6624 FANNIN ST, SUITE 1240, HOUSTON, TX 77030-2312
(832) 355-5575
(888) 876-4946
Mailing address
1 BAYLOR PLZ # 2GR900, HOUSTON, TX 77030-3411
(713) 798-1750
(713) 798-4693
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE1701
MEDICARE RAILROAD
TX
Enumeration date
06/19/2007
Last updated
06/12/2024
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