Organization Active NPI

Sam Houston Cancer Center LP

  • Radiation Oncology Physician
  • Huntsville, TX
National Provider Identifier
1972798072
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X Primary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
159047301MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.