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NORTHWEST OUTPATIENT CANCER CENTER NPI 1598768632


NPI Information

NPI: 1598768632
Provider Name: NORTHWEST OUTPATIENT CANCER CENTER

Doing Business As: NORTHWEST CANCER CENTER

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 45D0955120

Address:
17323 RED OAK DR
HOUSTON, TX
ZIP 77090
Phone: (281) 440-5006
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NORTHWEST OUTPATIENT CANCER CENTER is a medical specialty clinic center in Houston, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NORTHWEST OUTPATIENT CANCER CENTER NPI is 1598768632. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwest Cancer Center.

The provider's business location address is:

17323 RED OAK DR
HOUSTON, TX
ZIP 77090-243
Phone: (281) 440-5006
Fax: (281) 440-6149

The provider's authorized official is Mirtha T Casimir .
The authorized official title is Medical Director and has the following contact phone number (281) 440-5006.

The CLIA number assigned to this NPI record is 45D0955120 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 5/20/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyF5854TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100D29CMEDICARE PINTEXAS
21598768632MEDICARE PINTEXAS
30533800001MEDICARE NSCTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.