Organization
UNIVERSITY DIAGNOSTIC & TREATMENT CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA DAVILA (ADMINISTRATOR)
(713) 474-1414
Entity
Organization
Contact information
Practice address
12811 BEAMER RD, HOUSTON, TX 77089-6140
(713) 474-1414
(713) 474-8477
Mailing address
12811 BEAMER RD, HOUSTON, TX 77089-6140
(713) 474-1414
(713) 474-8477
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
07/26/2012
Last updated
02/11/2015
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