Organization
BAYLOR UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE ARMSTRONG (CEO)
(214) 820-1236
Entity
Organization
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-0111
(214) 820-4283
Mailing address
PO BOX 842022, DALLAS, TX 75284-2022
(214) 820-3151
(214) 820-8515
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
000331
TX
207R00000X
Internal Medicine Physician
000331
TX
363A00000X
Physician Assistant
000331
TX
363LA2100X
Acute Care Nurse Practitioner
000331
TX
363LA2200X
Adult Health Nurse Practitioner
000331
TX
363LF0000X
Family Nurse Practitioner
000331
TX
363LG0600X
Gerontology Nurse Practitioner
000331
TX
364SM0705X
Medical-Surgical Clinical Nurse Specialist
000331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG5716
MCARE RR PROV NUMBER
TX
Enumeration date
07/31/2006
Last updated
08/01/2024
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