Organization
GULF COAST ONCOLOGY ASSOCIATES PA
Active
Other names
University Cancer & Treatment Center
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
12811 BEAMER RD, HOUSTON, TX 77089-6140
(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
207RX0202X
Medical Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049HW
BLUE CROSS
TX
05
—
149949301
—
TX
Enumeration date
06/02/2006
Last updated
10/20/2014
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