Organization
GULF COAST CANCER CENTER OF PASADENA
Active
Organization
GULF COAST CANCER CENTER OF PASADENA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A D'ANDREA M.D. (PHYSICIAN)
(281) 579-0061
Entity
Organization
Contact information
Practice address
4135 SPENCER HWY, PASADENA, TX 77504-1209
(281) 579-0061
(281) 579-0093
Mailing address
PO BOX 7894, PASADENA, TX 77508-7894
(281) 579-0061
(281) 579-0093
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
L05185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083CP
BLUE CROSS
TX
Enumeration date
06/02/2006
Last updated
08/22/2020
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