NPI:
1194723296
Provider Name:
GULF COAST CANCER & DIAGNOSTIC CENTER AT SOUTHEAST
Doing Business As: UNIVERSITY DIAGNOSTIC AND TREATMENT CLINIC
Classification:
Clinic/Center - 261QX0203X
Entity Type:
Organization
Specialization: Oncology, Radiation
Address:
12811 BEAMER RD
HOUSTON, TX
ZIP 77089
Phone:
(713) 474-1414
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GULF COAST CANCER & DIAGNOSTIC CENTER AT SOUTHEAST is an oncology and radiation clinic center in Houston, TX. GULF COAST CANCER & DIAGNOSTIC CENTER AT SOUTHEAST NPI is 1194723296. The provider is registered as an organization entity type.
The provider Is Doing Business As University Diagnostic And Treatment Clinic.
The provider's business location address is:
12811 BEAMER RD
HOUSTON, TX
ZIP 77089-140
Phone: (713) 474-1414
Fax: (713) 474-8477
The provider's authorized official is Mark A Dandrea .
The authorized official title is Owner and has the following contact phone number (713) 474-1414.
The enumeration date for this NPI number is 7/12/2005 and was last updated on 4/19/2016.