ALTUS RADIATION ONCOLOGY (BAYTOWN) LP


Address: 1455 Manor Drive, Suite 150, Baytown, TX 77521
Phone: 2818377600

ALTUS RADIATION ONCOLOGY (BAYTOWN) LP (NPI# 1285955708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285955708
Entity Type Organization
Organization Name ALTUS RADIATION ONCOLOGY (BAYTOWN) LP
Practice Address 1455 Manor Drive
Suite 150
Baytown
TX 77521
Practice Telephone 2818377600
Practice Fax Number 2818377601
Mailing Telephone 2818377600
Mailing Fax Number 2818377601
Enumeration Date 2010-06-18
Last Update Date 2011-03-23
Authorized Official Name MR. JAMES KEVIN HERRINGTON (REGIONAL VICE PRESIDENT)
Authorized Official Telephone 4099815500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QX0203X Clinic/Center
Specialization: Oncology, Radiation
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS 0774DC 01

Office Location

Street Address 1455 MANOR DRIVE
SUITE 150
City BAYTOWN
State TX
Zip Code 77521

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 261QX0203X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oncology, Radiation

Taxonomy Definition

Definition to come...

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1922388503 Altus Radiation Oncology Beaumont, Lp Clinic/Center 310 N 11th St, Beaumont, TX 77702-1802 2011-08-26
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1801910492 Christus Santa Rosa Cancer Center Clinic/Center 310 N San Saba, San Antonio, TX 78207-3199 2007-03-19
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Competitor

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City BAYTOWN
Zip Code 77521

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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