Organization
CENTURY RADIATION ONCOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY C MEHTA MD (OWNER)
(713) 630-8161
Entity
Organization
Contact information
Practice address
9150 S MAIN ST, SUITE A-3, HOUSTON, TX 77025-3843
(713) 630-8161
Mailing address
6565 WEST LOOP S, SUITE 400, BELLAIRE, TX 77401-3500
(713) 589-6879
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
K9353
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316009806
NPI
TX
05
—
152402701
—
TX
Enumeration date
06/24/2009
Last updated
02/26/2013
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