Provider First Line Business Practice Location Address:
BAYLOR COLLEGE OF MEDICINE ONE BAYLOR PLAZA, BCM 390
Provider Second Line Business Practice Location Address:
C/O PATRICIA CARPENTER
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030-3411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-355-9936
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/15/2012