Organization
HOUSTON CANCER INSTITUTE PA
Active
Other names
Texas Chronic Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA A. SCOUROS MD (OWNER)
(713) 464-3343
Entity
Organization
Contact information
Practice address
1220 BLALOCK RD, SUITE 300, HOUSTON, TX 77055-6472
(713) 464-3343
(713) 464-2644
Mailing address
1220 BLALOCK RD, SUITE 300, HOUSTON, TX 77055-6472
(713) 464-3343
(713) 464-2644
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F5741
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094028001
—
TX
01
—
CH9402
RAILROAD MEDICARE
TX
Enumeration date
07/01/2006
Last updated
10/02/2014
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