Organization
M D ANDERSON PHYSICIANS NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM A HYSLOP (VICE PRESIDENT)
(713) 745-9610
Entity
Organization
Contact information
Practice address
6602 MAPLERIDGE, HOUSTON, TX 77081
(713) 745-6123
Mailing address
PO BOX 201790, M D ANDERSON PHYSICIANS NETWORK CO JP MORGAN CHASE BANK, HOUSTON, TX 77216-1790
(713) 745-9700
(713) 792-2106
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084813701
—
TX
Enumeration date
05/18/2006
Last updated
08/29/2012
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