Organization
BAYLOR COLLEGE OF MEDICINE
Active
Other names
HCHD Psychiatry
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
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112572604
—
TX
Enumeration date
06/30/2006
Last updated
03/24/2009
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