Organization
UNIVERSITY CANCER CENTER HUNTSVILLE/BRENHAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NELKA (PRACTICE ADMINISTRATOR)
(972) 395-0100
Entity
Organization
Contact information
Practice address
640 I 45, HUNTSVILLE, TX 77340
(936) 438-8430
Mailing address
PO BOX 5575, PASADENA, TX 77508-5575
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
H5862
TX
261QX0200X
Oncology Clinic/Center
H5862
TX
261QX0203X
Radiation Oncology Clinic/Center
Primary
H5862
TX
Other
Enumeration date
09/26/2007
Last updated
12/18/2007
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