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NPI Code Detail

MEDICARE: BAYLOR COLLEGE OF MEDICINE TEEN HEALTH CLINIC

MEDICARE: BAYLOR COLLEGE OF MEDICINE TEEN HEALTH CLINIC
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
1261QF0050XNon-Surgical Family Planning Clinic/Center
2261QA0005XAmbulatory Family Planning Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11457480212OTHERTXNPI
21750461182OTHERTXNPI
31396874293OTHERTXNPI
41184753931OTHERTXNPI
51306975107OTHERTXNPI
61437288180OTHERTXNPI
71992834790OTHERTXNPI
81295815637OTHERTXNPI
91306975081OTHERTXNPI

General Provider Information

NPI Number : 1720327182
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYLOR COLLEGE OF MEDICINE TEEN HEALTH CLINIC
Provider Business Mailing Address
First Line : 8111 LAWN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77088-6323
Country : US
Telephone Number : 281-850-2995
Fax Number : 281-445-4796
Provider Business Practice Location Address
First Line : 2950 BROADWAY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77017-1706
Country : US
Telephone Number : 713-440-7313
Fax Number :
Authorized Official
Title or Position : PROFESSOR DIRECTOR
Name : PROF. PEGGY B SMITH
Credential : PHD
Telephone Number : 713-873-3601
Provider Enumeration Date : 02/05/2013
Last Update Date : 05/01/2013

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Directions to “BAYLOR COLLEGE OF MEDICINE TEEN HEALTH CLINIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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