# UNIVERSITY CANCER CENTER HUNTSVILLE/BRENHAM, INC

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

## Provider details

- **NPI number:** 1508053398
- **Authorized official:** JOHN NELKA (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (972) 395-0100

## Contact information

- **Practice address:** 640 I 45, HUNTSVILLE, TX 77340
- **Practice address phone:** (936) 438-8430
- **Mailing address:** PO BOX 5575, PASADENA, TX 77508-5575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | H5862 | TX | — |
| 261QX0200X | Oncology Clinic/Center | H5862 | TX | — |
| 261QX0203X | Radiation Oncology Clinic/Center | H5862 | TX | Yes |

## Other

- **Enumeration date:** 09/26/2007
- **Last updated:** 12/18/2007