Organization
M. D. ANDERSON CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A. TIETJEN (VP, PATIENT FINANCIAL SERVICES)
(713) 792-8646
Entity
Organization
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-3753
Mailing address
PO BOX 4434, HOUSTON, TX 77210
(800) 527-2318
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0820330001
DMERC NUMBER
—
Enumeration date
03/22/2007
Last updated
04/08/2008
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