MEDICARE: BAYLOR COLLEGE OF MEDICINE

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	286500000X	Military Hospital

General Provider Information

NPI Number	:	1578898029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYLOR COLLEGE OF MEDICINE

Provider Business Mailing Address
First Line	:	3103 FAIRHOPE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-3228
Country	:	US
Telephone Number	:	713-309-0225
Fax Number	:

Provider Business Practice Location Address
First Line	:	3103 FAIRHOPE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-3228
Country	:	US
Telephone Number	:	713-309-0224
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	DR. JENNIFER ADRIAN CHEN
Credential	:
Telephone Number	:	713-309-0224

Provider Enumeration Date	:	10/15/2009
Last Update Date	:	10/15/2009

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Directions to “BAYLOR COLLEGE OF MEDICINE ” Practice Location

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