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Organization
ALTUS RADIATION ONCOLOGY (BAYTOWN) LP
Active
Organization
ALTUS RADIATION ONCOLOGY (BAYTOWN) LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES KEVIN HERRINGTON (REGIONAL VICE PRESIDENT)
(409) 981-5500
Entity
Organization
Contact information
Practice address
1455 MANOR DRIVE, SUITE 150, BAYTOWN, TX 77521
(281) 837-7600
(281) 837-7601
Mailing address
1455 MANOR DRIVE, SUITE 150, BAYTOWN, TX 77521
(281) 837-7600
(281) 837-7601
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0774DC
BCBS
TX
Enumeration date
06/18/2010
Last updated
03/23/2011
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