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General NPI Number Information
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NPI Number | 1285079764
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Entity Type | Organization
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Legal Business Name | BAYLOR COLLEGE OF MEDICINE
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Dates
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Enumeration Date | 05/09/2013
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 333 N SANTA ROSA
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3108
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Country | US
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Telephone | 210-704-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 333 N SANTA ROSA
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3108
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Country | US
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Telephone | 210-704-3030
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Fax | 210-704-4037
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. RICHARD C. ALLISON III
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Credential |
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Telephone | 713-798-1746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 170100000X
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Taxonomy Name | Ph.D. Medical Genetics
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | TX
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