# UNIVERSITY CANCER CENTER OF HUNTSVILLE BRENHAM INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295741924
- **Authorized official:** CYNTHIA DAVILA (BILLING COORDINATOR)
- **Authorized official phone:** (281) 579-0061

## Contact information

- **Practice address:** 605 MEDICAL CT, SUITE 101, BRENHAM, TX 77833-5404
- **Practice address phone:** (281) 579-0061
- **Practice address fax:** (281) 579-0093
- **Mailing address:** PO BOX 5575, PASADENA, TX 77508-5575
- **Mailing address phone:** (281) 579-0061
- **Mailing address fax:** (281) 579-0093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | H5862 | TX | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 04/03/2009