| Baylor Internal Medicine | |
|
6620 Main St Houston TX 77030-2305 | |
| (713) 798-2500 | |
| Not Available |
| Full Name | Baylor Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 6620 Main St, Houston, Texas |
| Authorized Official Name and Position | Richards C Allison (DIRECTOR) |
| Authorized Official Contact | 7137981746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baylor Internal Medicine 2 E Greenway Plz Suite 900 Houston TX 77046-0297 Ph: (713) 798-1750 | Baylor Internal Medicine 6620 Main St Houston TX 77030-2305 Ph: (713) 798-2500 |
| NPI Number | 1104867175 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104867175 | NPI | - | NPPES |
| CI7180 | Other | TX | RR MEDICARE |
| 135252804 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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