Organization
WESTERN RADIATION ONCOLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE B KING (BUSINESS MANAGER)
(281) 517-0262
Entity
Organization
Contact information
Practice address
15500 SOUTHWEST FWY, SUGAR LAND, TX 77478-3829
(281) 517-0262
(281) 517-0263
Mailing address
PO BOX 203594, DALLAS, TX 75320-3594
(281) 517-0262
(281) 517-0263
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U09E
BC/BS
TX
05
—
149116901
—
TX
01
—
CJ4437
MEDICARE RAILROAD UPIN
TX
Enumeration date
08/21/2006
Last updated
01/24/2012
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