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GULF COAST ONCOLOGY ASSOCIATES PA NPI 1972541076


NPI Information

NPI: 1972541076
Provider Name: GULF COAST ONCOLOGY ASSOCIATES PA

Doing Business As: UNIVERSITY CANCER & TREATMENT CENTER

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

CLIA Number: 45D2072555

Address:
12811 BEAMER RD
HOUSTON, TX
ZIP 77089
Phone: (281) 579-0061
Get Directions

GULF COAST ONCOLOGY ASSOCIATES PA is a radiation oncology radiology in Houston, TX. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. GULF COAST ONCOLOGY ASSOCIATES PA NPI is 1972541076. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As University Cancer & Treatment Center.

The provider's business location address is:

12811 BEAMER RD
HOUSTON, TX
ZIP 77089-140
Phone: (281) 579-0061
Fax: (281) 579-0093

The provider's authorized official is Mark A D'andrea .
The authorized official title is Physician and has the following contact phone number (281) 579-0061.

The CLIA number assigned to this NPI record is 45D2072555 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 10/20/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyNo
22085U0001XRadiologyDiagnostic UltrasoundNo
3207RX0202XInternal MedicineMedical OncologyNo
42085R0001XRadiologyRadiation OncologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100385RMEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE
20049HWOTHERTEXASBLUE CROSS
3149949301MEDICAIDTEXAS

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: 4/28/2024

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