# MD ANDERSON CANCER CENTER

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

## Provider details

- **NPI number:** 1548567704
- **Authorized official:** ASHIMA GOYAL PA-C (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (713) 745-0496

## Contact information

- **Practice address:** 1515 HOLCOMBE BLVD, UNIT 1445, HOUSTON, TX 77030-4000
- **Practice address phone:** (713) 745-0496
- **Practice address fax:** (713) 794-4662
- **Mailing address:** 1515 HOLCOMBE BLVD, UNIT 1445, HOUSTON, TX 77030-4000
- **Mailing address phone:** (713) 745-0496
- **Mailing address fax:** (713) 794-4662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | PA06977 | TX | Yes |

## Other

- **Enumeration date:** 02/23/2011
- **Last updated:** 02/23/2011
