Active NPI
Baylor Medicine Outpatient Radiology
- Diagnostic Radiology Physician
- Houston, TX
National Provider Identifier
1346932480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- BAYLOR MEDICINE OUTPATIENT RADIOLOGY
- Practice address
- 2457 S Braeswood Blvd
Houston, TX 77030-4305 - Phone
- (713) 798-2300
- NPI assigned
- May 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard C Allison
- Title
- Director
- Phone
- (713) 798-1746
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Vascular & Interventional Radiology Physician | 2085R0204X |
Addresses
Primary practice location
2457 S Braeswood Blvd
Houston, TX 77030-4305
Mailing address
1 Baylor PLZ # 2Gr900
Houston, TX 77030-3411
Phone (714) 798-1750
National Provider Directory
National Provider DirectoryLocations
1 Baylor Plz
Ste 106A
Houston, TX 77030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717459200000",
"number": "1346932480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BAYLOR PLZ # 2GR900",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303411",
"telephone_number": "714-798-1750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2457 S BRAESWOOD BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304305",
"telephone_number": "713-798-2300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYLOR MEDICINE OUTPATIENT RADIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-25",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A",
"authorized_official_last_name": "ALLISON",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "713-798-1746"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.