NPIMap

Individual provider Active NPI

Stanislaw R Burzynski, M.D., PH.D.

  • Oncology Clinic/Center
  • Houston, TX
National Provider Identifier
1093836819
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
License
D9377 Issued in TX
Practice address
9432 Old Katy Rd Ste 200
Houston, TX 77055-6330
Phone
(713) 335-5697
Fax
(713) 335-5658
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X D9377 TX Primary

Addresses

Primary practice location

9432 Old Katy Rd Ste 200
Houston, TX 77055-6330

Mailing address

9432 Old Katy Rd Ste 200
Houston, TX 77055-6330
Phone (713) 335-5697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
D9377TXMDOncology Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Southern Family Pharmacy Inc Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093836819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9432 OLD KATY RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556330",
            "telephone_number": "713-335-5697",
            "fax_number": "713-335-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9432 OLD KATY RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556330",
            "telephone_number": "713-335-5697",
            "fax_number": "713-335-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURZYNSKI",
        "first_name": "STANISLAW",
        "middle_name": "R",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "TX",
            "license": "D9377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.