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NPI Code Detail

MEDICARE: BAYLOR COLLEGE OF MEDICINE

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
1208100000XPhysical Medicine & Rehabilitation Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100R77WOTHERTXBCBS OF TEXAS
2023350401OTHERTXCSHCN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588605638
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYLOR COLLEGE OF MEDICINE
Provider Business Mailing Address
First Line : 2 GREENWAY PLZ
Second Line : SUITE 900
City : HOUSTON
State : TX
Zip : 77046-0297
Country : US
Telephone Number : 713-798-5217
Fax Number : 713-798-7259
Provider Business Practice Location Address
First Line : 6620 MAIN ST
Second Line : SUITE 1375
City : HOUSTON
State : TX
Zip : 77030-2348
Country : US
Telephone Number : 713-798-6198
Fax Number : 713-798-4688
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. RICHARD C. ALLISON III
Credential : M.B.A.
Telephone Number : 713-798-1746
Provider Enumeration Date : 06/09/2006
Last Update Date : 02/06/2013

Similar Medicare Providers

1497757611 — PATRICIA A SMITH M.D.
Practice Location Address:
6620 MAIN ST , STE 1450
HOUSTON, TX
77030-2348
Practice Phone: 713-798-7500
Practice Fax: 713-798-3487
1669474359 — WILLIAM EDWARD GIBBONS M.D.
Practice Location Address:
6620 MAIN ST , SUITE 1450
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Practice Fax: 713-798-1251
1235110990 — MRS. JENNIFER L LEMOINE M.S.
Practice Location Address:
6620 MAIN ST , SUITE 1450
HOUSTON, TX
77030-2348
Practice Phone: 713-798-7250
Practice Fax: 713-798-2718
1881665354 — CARL F GIESLER MD
Practice Location Address:
6620 MAIN ST , STE 1450
HOUSTON, TX
77030-2348
Practice Phone: 713-798-7500
Practice Fax: 713-798-1144
1851365258 — MELVYN AUGUSTUS HARRINGTON JR. MD
Practice Location Address:
6620 MAIN ST , SUITE 1325, BAYLOR COLLEGE OF MEDICINE
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1417916776 — ANN I SCHUTT AINE MD
Practice Location Address:
6620 MAIN ST , SUITE 1450
HOUSTON, TX
77030-2348
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Practice Fax: 713-798-3487
1114979309 — KWAI-TUNG CHAN M.D.
Practice Location Address:
6620 MAIN ST , SUITE #1350
HOUSTON, TX
77030-2348
Practice Phone: 713-798-6198
Practice Fax: 713-798-4688

Directions to “BAYLOR COLLEGE OF MEDICINE ” Practice Location

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