1023180858 NPI number — ONCOLOGY CONSULTANTS, P.A.

Table of content: (NPI 1023180858)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023180858 NPI number — ONCOLOGY CONSULTANTS, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ONCOLOGY CONSULTANTS, P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023180858
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/18/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
925 GESSNER
Provider Second Line Business Mailing Address:
SUITE 600
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77024-2545
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-275-3222
Provider Business Mailing Address Fax Number:
713-400-9118

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
925 GESSNER RD
Provider Second Line Business Practice Location Address:
STE 600
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77024-2545
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-275-3222
Provider Business Practice Location Address Fax Number:
713-400-9118
Provider Enumeration Date:
11/15/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CAMPOS
Authorized Official First Name:
LUIS
Authorized Official Middle Name:
T
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
713-827-9525

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  21520 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4522909 . This is a "NABP" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 320256 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 190447602 . This is a "DME" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1023180858 . This is a "NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 190447601 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".