| NPI | 1538524434 |
|---|---|
| Doing Business As | BAYLOR TEEN CLINIC LBJ |
| Entity Type | Organization |
| Authorized Contact | CAROLINA SALAZAR R.N. 713-440-7313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 7258) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |