Organization
SURGICAL ONCOLOGY CONSULTANTS OF HOUSTON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY NESMITH (OFFICE MANAGER)
(713) 652-3161
Entity
Organization
Contact information
Practice address
1315 ST JOSEPH PKWY, SUITE 1800, HOUSTON, TX 77002-8233
(713) 652-3161
(713) 652-3810
Mailing address
1315 ST JOSEPH PKWY, SUITE 1800, HOUSTON, TX 77002-8233
(713) 652-3161
(713) 652-3810
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086X0206X
Surgical Oncology Physician
D8692 & J7243
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0044MS
BLUE CROSS/BLUE SHIELD
TX
01
—
10000524
AMERIGROUP
TX
05
—
175096001
—
TX
Enumeration date
06/24/2006
Last updated
02/20/2020
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