Active NPI
Baylor College of Medicine
- Clinical Medical Laboratory
- Houston, TX
National Provider Identifier
1134485659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- BAYLOR COLLEGE OF MEDICINE
- Practice address
- 1102 Bates Ave Ste 430.09
Houston, TX 77030-2620 - Phone
- (832) 824-4152
- NPI assigned
- Apr 10, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Yuxin Fan, MD, PHD, FACMG
- Title
- Assistant Professor/Lab Director
- Phone
- (832) 824-4155
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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National Provider Directory
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Locations
1102 Bates Ave
Ste 43009
Houston, TX 77030
Phone (832) 824-4152
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1102 Bates Ave Ste 430.09
Houston, TX 77030-2620
Mailing address
1102 Bates Ave Ste 430.09
Houston, TX 77030-2620
Phone (832) 824-4152
Other names 1
NPPES NPI Registry- John Welsh Cardiovascular Diagnostic Laboratory
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 10, 2012.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334016000000",
"number": "1134485659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 BATES AVE STE 430.09",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302620",
"telephone_number": "832-824-4152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 BATES AVE STE 430.09",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302620",
"telephone_number": "832-824-4152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYLOR COLLEGE OF MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-10",
"last_updated": "2012-04-10",
"status": "A",
"authorized_official_last_name": "FAN",
"authorized_official_first_name": "YUXIN",
"authorized_official_title_or_position": "ASSISTANT PROFESSOR/LAB DIRECTOR",
"authorized_official_telephone_number": "832-824-4155",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, PHD, FACMG"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "John Welsh Cardiovascular Diagnostic Laboratory",
"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 Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.