Active NPI
University Diagnostic & Treatment Clinic PLLC
- Radiation Oncology Physician
- Houston, TX
National Provider Identifier
1023364155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- UNIVERSITY DIAGNOSTIC & TREATMENT CLINIC PLLC
- Practice address
- 12811 Beamer Rd
Houston, TX 77089-6140 - Phone
- (713) 474-1414
- Fax
- (713) 474-8477
- NPI assigned
- Jul 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia Davila
- Title
- Administrator
- Phone
- (713) 474-1414
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | |||
| Medical Oncology Physician | 207RX0202X | |||
| Nuclear Radiology Physician | 2085N0904X | |||
| Radiation Oncology Physician | 2085R0001X | Primary | ||
| Diagnostic Radiology Physician | 2085R0202X |
Addresses
Primary practice location
12811 Beamer Rd
Houston, TX 77089-6140
Mailing address
12811 Beamer Rd
Houston, TX 77089-6140
Phone (713) 474-1414
National Provider Directory
National Provider DirectoryLocations
605 Medical Ct
Ste 101
Brenham, TX 77833
Phone (979) 774-1377
640 Interstate 45 S
Ste 10
Huntsville, TX 77340
Phone (713) 467-5700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423612800000",
"number": "1023364155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12811 BEAMER RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896140",
"telephone_number": "713-474-1414",
"fax_number": "713-474-8477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12811 BEAMER RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896140",
"telephone_number": "713-474-1414",
"fax_number": "713-474-8477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY DIAGNOSTIC & TREATMENT CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-26",
"last_updated": "2015-02-11",
"status": "A",
"authorized_official_last_name": "DAVILA",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "713-474-1414"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.