Provider First Line Business Practice Location Address:
BAYLOR COLLEGE OF MEDICINE-BAYLOR ST LUKES MEDICAL GP
Provider Second Line Business Practice Location Address:
6720 BERTNER AVENUE
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:
832-355-2666
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/22/2017