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Organization

SOUTHEAST TEXAS ONCOLOGY PARTNERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD P BALTZ MD (PRESIDENT)
28114405224
Entity
Organization

Contact information

Practice address
1140 CYPRESS STATION DRIVE, STE 302, HOUSTON, TX 77090-3002
(281) 440-5224
(281) 444-0933
Mailing address
1140 CYPRESS STATION DRIVE, STE 302, HOUSTON, TX 77090-3002
(281) 440-5224
(281) 444-0933

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
207RX0202X
Medical Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
045602201
TX
05
099964102
TX
05
154680601
TX
Enumeration date
08/02/2006
Last updated
03/01/2010
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