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Specialty details in registry · Baytown, TX

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At a glance

4506 Garth Rd, Baytown, TX 77521-2161

NPPES record updated Aug 19, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

4506 Garth Rd
Baytown, TX 77521-2161
Professional details: NPI, taxonomy & registry record
NPI1124901889
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
347C00000X
Enumeration date
Jul 30, 2025
Record updated
Aug 19, 2025
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

343900000X

Specialty details in registry

347C00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4506 Garth Rd
Baytown, TX 77521-2161
Phone
(281) 802-3572
Mailing address
4506 GARTH RD

BAYTOWN, TX 775212161
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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