Organization
ALTUS RADIATION ONCOLOGY (BAYTOWN) LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES KEVIN HERRINGTON (REGIONAL VICE PRESIDENT)
(409) 981-5500
Entity
Organization
Contact information
Practice address
1455 MANOR DRIVE, SUITE 150, BAYTOWN, TX 77521
(281) 837-7600
(281) 837-7601
Mailing address
1455 MANOR DRIVE, SUITE 150, BAYTOWN, TX 77521
(281) 837-7600
(281) 837-7601
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0774DC
BCBS
TX
Enumeration date
06/18/2010
Last updated
03/23/2011
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