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Organization

BAYLOR COLLEGE OF MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN R NICKENS (EXECUTIVE DIRECTOR)
(713) 798-7110
Entity
Organization

Contact information

Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-2000
Mailing address
2 GREENWAY PLZ, SUITE 900, HOUSTON, TX 77046-0297
(713) 798-1835
(713) 798-1144

Taxonomy

Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
193400000X
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
094875401
TX
Enumeration date
09/07/2011
Last updated
09/07/2011
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