Provider First Line Business Practice Location Address:
ONE BAYLOR PLAZA, MAIL STOP W6-006
Provider Second Line Business Practice Location Address:
PEDIATRIC CRITICAL CARE
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77070
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-798-4780
Provider Business Practice Location Address Fax Number:
713-790-1345
Provider Enumeration Date:
01/27/2012