Provider First Line Business Practice Location Address:
BAYLOR ST. LUKE'S MEDICAL CENTER
Provider Second Line Business Practice Location Address:
1101 BATES AVENUE, SUITE O-520
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:
832-355-7860
Provider Business Practice Location Address Fax Number:
832-355-6279
Provider Enumeration Date:
06/24/2024