Organization Active NPI

University Cancer Center Huntsville/Brenham, Inc

  • Radiation Oncology Clinic/Center
  • Huntsville, TX
National Provider Identifier
1508053398
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
License
H5862 Issued in TX
Legal business name
UNIVERSITY CANCER CENTER HUNTSVILLE/BRENHAM, INC
Practice address
640 I 45
Huntsville, TX 77340
Phone
(936) 438-8430
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
John Nelka
Title
Practice Administrator
Phone
(972) 395-0100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X H5862 TX
Oncology Clinic/Center 261QX0200X H5862 TX
Radiation Oncology Clinic/Center 261QX0203X H5862 TX Primary

Addresses

Primary practice location

640 I 45
Huntsville, TX 77340

Mailing address

PO Box 5575
Pasadena, TX 77508-5575

National Provider Directory

National Provider Directory

Locations

640 Interstate 45 S
#10
Huntsville, TX 77340
Phone (936) 438-8430

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1508053398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5575",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775085575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 I 45",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "77340",
            "telephone_number": "936-438-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY CANCER CENTER HUNTSVILLE/BRENHAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "NELKA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "972-395-0100"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "H5862",
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "TX",
            "license": "H5862",
            "primary": false
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "TX",
            "license": "H5862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.