Provider First Line Business Practice Location Address:
1 BAYLOR PLAZA MS 288
Provider Second Line Business Practice Location Address:
BAYLOR COLLEGE OF MEDICINE
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-794-8601
Provider Business Practice Location Address Fax Number:
713-748-7359
Provider Enumeration Date:
07/28/2006