Northwest Radiotherapy Association

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTHWEST RADIOTHERAPY ASSOCIATION

Practice address

13700 Medical Complex Dr
Tomball, TX 77375-6554

Phone

(713) 467-5700

Fax

(713) 467-5702

NPI assigned

Jul 12, 2005

Organization subpart

No

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

Authorized official

Name

Cynthia Davila-Pruneda

Title

Manager

Phone

(713) 467-5700

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1295733327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73152",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772733152",
            "telephone_number": "713-467-5700",
            "fax_number": "713-467-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 MEDICAL COMPLEX DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756554",
            "telephone_number": "713-467-5700",
            "fax_number": "713-467-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST RADIOTHERAPY ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "DAVILA-PRUNEDA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-467-5700"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00N45X",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084191801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Tomball, TX
• Providers in Tomball, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.