Healthcare Provider Details

I. General information

NPI: 1528781416
Provider Name (Legal Business Name): BAYLEI A MCCOWAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2022
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27700 NORTHWEST FWY STE 360
CYPRESS TX
77433-8028
US

IV. Provider business mailing address

1 MEDICAL PARK BLVD STE E
BRISTOL TN
37620-7430
US

V. Phone/Fax

Practice location:
  • Phone: 346-231-6830
  • Fax: 346-231-6831
Mailing address:
  • Phone: 423-434-6300
  • Fax: 423-434-6312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number6738
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA16180
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: