MEDICARE: BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF ORTHOPEDIC SURGERY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician		TX

General Provider Information

NPI Number	:	1033312673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF ORTHOPEDIC SURGERY

Provider Business Mailing Address
First Line	:	6620 MAIN ST
Second Line	:	SUITE 1325
City	:	HOUSTON
State	:	TX
Zip	:	77030-2348
Country	:	US
Telephone Number	:	713-986-6000
Fax Number	:	713-986-6001

Provider Business Practice Location Address
First Line	:	6400 FANNIN ST
Second Line	:	SUITE 1620
City	:	HOUSTON
State	:	TX
Zip	:	77030-1511
Country	:	US
Telephone Number	:	713-740-2200
Fax Number	:

Authorized Official
Title or Position	:	CHAIRMAN
Name	:	DR. MICHAEL H HEGGENESS
Credential	:	M.D.
Telephone Number	:	713-986-5730

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	07/21/2022

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Directions to “BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF ORTHOPEDIC SURGERY ” Practice Location

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