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Organization

BAYLOR COLLEGE OF MEDICINE

Active
Other names
HCHD Ob/Gyn
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN R. NICKENS (EXECUTIVE DIRECTOR)
(713) 798-1710
Entity
Organization

Contact information

Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-2000
Mailing address
2 E GREENWAY PLZ, SUITE 900, HOUSTON, TX 77046-0297
(713) 798-1900

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
081980701
TX
Enumeration date
07/05/2006
Last updated
02/06/2009
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