NPIMap

Organization Active NPI

Baylor Cavalcade Teen Health

Doing business as Baylor Teen Health Clinic- Cavalcade

  • Specialty Pharmacy
  • Houston, TX
National Provider Identifier
1114392966
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
16507 Issued in TX
Legal business name
BAYLOR CAVALCADE TEEN HEALTH
Doing business as
Baylor Teen Health Clinic- Cavalcade
Practice address
3815 Cavalcade St
Houston, TX 77026-3403
Phone
(713) 673-1655
Fax
(713) 440-9238
NPI assigned
Dec 4, 2015
Last updated
Dec 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carolina Salazar
Title
R.N.
Phone
(713) 440-7313

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Specialty Pharmacy 3336S0011X 16507 TX Primary

Addresses

Primary practice location

3815 Cavalcade St
Houston, TX 77026-3403

Mailing address

1504 Taub Loop BLDG 1A29
Houston, TX 77030-1608
Phone (713) 440-7313

Other identifiers 1

IdentifierTypeStateIssuer
2155708OtherPK

Other names 1

  • Baylor Teen Health Clinic- Cavalcade Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hepatitis Diagnostic la58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1114392966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 TAUB LOOP BLDG 1A29",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608",
            "telephone_number": "713-440-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 CAVALCADE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770263403",
            "telephone_number": "713-673-1655",
            "fax_number": "713-440-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR CAVALCADE TEEN HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "R.N.",
        "authorized_official_telephone_number": "713-440-7313"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TX",
            "license": "16507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155708",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor Teen Health Clinic- Cavalcade",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.