1801033139 NPI number — NORTH HOUSTON CANCER CLINICS PA

Table of content: DR. ROLAND I SAAVEDRA MD (NPI 1427011089)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801033139 NPI number — NORTH HOUSTON CANCER CLINICS PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH HOUSTON CANCER CLINICS PA
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:
ELHAM ABBASI-HAFSHEJANI MD
Provider Other Organization Name Type Code:
5
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:
1801033139
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/26/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3115 COLLEGE PARK DR STE 108
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
THE WOODLANDS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77384-4171
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
936-439-5213
Provider Business Mailing Address Fax Number:
936-439-5216

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3115 COLLEGE PARK DR
Provider Second Line Business Practice Location Address:
SUITE 108
Provider Business Practice Location Address City Name:
THE WOODLANDS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77384-4000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
936-439-5213
Provider Business Practice Location Address Fax Number:
936-439-5216
Provider Enumeration Date:
01/08/2009

Additional Information

Authorized Official

Authorized Official Last Name:
ABBASI-HAFSHEJANI
Authorized Official First Name:
ELHAM
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
936-439-5213

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X , with the licence number:  L7632 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 57TE . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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