# HOUSTON NORTHWEST RADIOTHERAPY CENTER

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

## Provider details

- **NPI number:** 1447258520
- **Authorized official:** MRS. CYNTHIA DAVILA-PRUNEDA (MANAGER)
- **Authorized official phone:** (281) 579-0061

## Contact information

- **Practice address:** 810 PEAKWOOD DR, SUITE D, HOUSTON, TX 77090-2921
- **Practice address phone:** (281) 893-3273
- **Practice address fax:** (281) 893-3683
- **Mailing address:** 810 PEAKWOOD DR, SUITE D, HOUSTON, TX 77090-2921
- **Mailing address phone:** (281) 893-3273
- **Mailing address fax:** (281) 893-3683

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | L02416 | TX | Yes |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 08/11/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00DT11 | BLUE CROSS | TX |
| 05 | — | 160339101 | — | TX |