Organization Active NPI

Houston Northwest Radiotherapy Center

  • Radiation Oncology Clinic/Center
  • Houston, TX
National Provider Identifier
1447258520
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
License
L02416 Issued in TX
Legal business name
HOUSTON NORTHWEST RADIOTHERAPY CENTER
Practice address
810 Peakwood Dr
Suite D
Houston, TX 77090-2921
Phone
(281) 893-3273
Fax
(281) 893-3683
NPI assigned
Jul 12, 2005
Last updated
Aug 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Mrs. Cynthia Davila-Pruneda
Title
Manager
Phone
(281) 579-0061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X L02416 TX Primary

Addresses

Primary practice location

810 Peakwood Dr
Suite D
Houston, TX 77090-2921

Mailing address

810 Peakwood Dr
Suite D
Houston, TX 77090-2921
Phone (281) 893-3273

Other identifiers 2

IdentifierTypeStateIssuer
00DT11OtherTXBLUE CROSS
160339101MedicaidTX

National Provider Directory

National Provider Directory

Locations

810 Peakwood Dr
Ste D
Houston, TX 77090
Phone (281) 893-3273

810 Peakwood Dr
Ste E
Houston, TX 77090
Phone (281) 893-3273

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1447258520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 PEAKWOOD DR",
            "address_2": "SUITE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902921",
            "telephone_number": "281-893-3273",
            "fax_number": "281-893-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 PEAKWOOD DR",
            "address_2": "SUITE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902921",
            "telephone_number": "281-893-3273",
            "fax_number": "281-893-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON NORTHWEST RADIOTHERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "DAVILA-PRUNEDA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-579-0061",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "TX",
            "license": "L02416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00DT11",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160339101",
            "state": "TX"
        }
    ],
    "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 Aug 11, 2009; 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.