Organization
SAM HOUSTON CANCER CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL PARKER (BUSINESS OFFICE MANAGER)
(281) 364-1707
Entity
Organization
Contact information
Practice address
112 MEDICAL PARK LN, SAM HOUSTON CANCER CENTER, HUNTSVILLE, TX 77340
(936) 291-7900
(936) 291-7911
Mailing address
PO BOX 8399, THE WOODLANDS, TX 77387-8399
(281) 364-1707
(281) 364-0028
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159047301
—
TX
Enumeration date
09/11/2007
Last updated
11/10/2009
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