Organization
BAYLOR COLLEGE OF MEDICINE, MEDICAL GENETICS LABS
Active
Other names
Baylor Genetics
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. CHRISTINE M ENG M.D. (EXECUTIVE LABORATORY DIRECTOR)
(713) 798-6555
Entity
Organization
Contact information
Practice address
1 BAYLOR PLZ, MS: NAB 2015, ROOM 0280C, HOUSTON, TX 77030-3411
(713) 798-3295
(713) 798-4187
Mailing address
PO BOX 4832, HOUSTON, TX 77210-4832
(713) 798-3295
(713) 798-4187
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000CL0582
BLUE CROSS BLUE SHIELD
—
01
—
21093-14
CAP
—
05
—
2821183
—
TX
01
—
45D0660090
CLIA
—
Enumeration date
01/17/2007
Last updated
12/10/2014
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