Provider First Line Business Practice Location Address:
1 BAYLOR PLZ # N520.09
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:
77030-3411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-436-6266
Provider Business Practice Location Address Fax Number:
713-798-8764
Provider Enumeration Date:
09/01/2007