Active NPI
Sam Houston Cancer Center LP
- Radiation Oncology Physician
- Huntsville, TX
National Provider Identifier
1972798072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- SAM HOUSTON CANCER CENTER LP
- Practice address
- 112 Medical Park LN
Sam Houston Cancer Center
Huntsville, TX 77340 - Phone
- (936) 291-7900
- Fax
- (936) 291-7911
- NPI assigned
- Sep 11, 2007
- Last updated
- Nov 10, 2009
- 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
- Jill Parker
- Title
- Business Office Manager
- Phone
- (281) 364-1707
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | |||
| Radiation Oncology Physician | 2085R0001X | Primary | ||
| Diagnostic Radiology Physician | 2085R0202X |
Addresses
Primary practice location
112 Medical Park LN
Sam Houston Cancer Center
Huntsville, TX 77340
Mailing address
PO Box 8399
The Woodlands, TX 77387-8399
Phone (281) 364-1707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159047301 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Obstetrics & Gynecology Physician
- Huntsville, TX
- NPI 1255331864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257811200000",
"number": "1972798072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8399",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773878399",
"telephone_number": "281-364-1707",
"fax_number": "281-364-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MEDICAL PARK LN",
"address_2": "SAM HOUSTON CANCER CENTER",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "77340",
"telephone_number": "936-291-7900",
"fax_number": "936-291-7911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM HOUSTON CANCER CENTER LP",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-11",
"last_updated": "2009-11-10",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "281-364-1707"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159047301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, TX
- Paul David Ruffner, RPH
- Norman Thomas Rushing, D.D.S.
- Michael Robert Ruttle, P.A
- Amanda Cathryn Sachs, DC
- Sacred Seniors
- Sam Houston Emergency Center LLC (Physicians ER Huntsville)
- Sam Houston State University
- Sam Houston State University (Sam Houston Athletics)
- Sam Houston State University
- Sam Houston State University, Diagnostic Laboratory for Human Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.