SOUTH EAST TEXAS CANCER CENTER (NPI# 1366499683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366499683 |
| Entity Type | Organization |
| Organization Name | SOUTH EAST TEXAS CANCER CENTER |
| Practice Address |
690 N 14th St Beaumont TX 77702-1449 |
| Mailing Address |
Po Box 911223 Dallas TX 75391-1223 |
| Practice Telephone | 4098997181 |
| Practice Fax Number | 4098997179 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9724379605 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2016-04-26 |
| Authorized Official Name | JOHN E SIMS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9724902910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 079695501 | 05 | |
| TX | BLUE CROSS BLUD SHIELD | 0034MA | 01 |
| Street Address |
690 N 14TH ST |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194992537 | Texas Oncology Pa | Pediatrics | 690 N 14th St, Beaumont, TX 77702-1449 | 2008-05-14 |
| 1588607006 | Robert Rankin Birdwell | Internal Medicine | 690 N 14th St, 3rd Floor, Beaumont, TX 77702-1449 | 2006-06-13 |
| 1669414777 | Henry Oldham Williams | Radiology | 690 N 14th St, Third Floor, Beaumont, TX 77702-1449 | 2006-06-12 |
| 1720020829 | Scott Alan Mckenney | Internal Medicine | 690 N 14th St, Third Floor, Beaumont, TX 77702-1449 | 2006-06-12 |
| 1962444810 | Jay Reggie Schachner | Internal Medicine | 690 N 14th St, 3rd Floor, Beaumont, TX 77702-1449 | 2006-06-12 |
| 1124060124 | Syed Usama Akhtar | Internal Medicine | 690 N 14th St, 3rd Floor, Beaumont, TX 77702-1449 | 2006-06-12 |
| 1265474423 | Katherine Theresa Lemaster | Nurse Practitioner | 690 N 14th St, Third Floor, Beaumont, TX 77702-1449 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
| Find all providers in zip 77702 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922388503 | Altus Radiation Oncology Beaumont, Lp | Clinic/Center | 310 N 11th St, Beaumont, TX 77702-1802 | 2011-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639538655 | Golden Triangle Cancer Center LLC | Clinic/Center | 2875 Jimmy Johnson Blvd, Suite 100, Port Arthur, TX 77640-2002 | 2016-02-18 |
| 1811315286 | Dominic Himchan Moon | Clinic/Center | 2280 Inwood Road, Dallas, TX 75390-7512 | 2014-04-02 |
| 1023443223 | Americare Cancer Centers, Gp; LLC | Clinic/Center | 2507 Stonebury Ln, Sugar Land, TX 77479-5489 | 2013-09-06 |
| 1760739098 | North Texas Srs LLC | Clinic/Center | 10425 N Central Expy, Dallas, TX 75231-2208 | 2012-08-06 |
| 1508178229 | Usmd Cancer Treatment Centers, LLC | Clinic/Center | 801 West Interstate 20, Suite 1, Arlington, TX 76017-3252 | 2010-07-10 |
| 1285955708 | Altus Radiation Oncology (baytown) Lp | Clinic/Center | 1455 Manor Drive, Suite 150, Baytown, TX 77521 | 2010-06-18 |
| 1861711392 | Noushin Izadifar Hart, M.d. P.a. | Clinic/Center | 10 W Whistlers Bend Cir, Conroe, TX 77384-5061 | 2010-05-24 |
| 1689853038 | University Cancer Center of Huntsville Brenham Inc | Clinic/Center | 521 Interstate 45 S, Suite 10, Huntsville, TX 77340-5650 | 2007-11-01 |
| 1801910492 | Christus Santa Rosa Cancer Center | Clinic/Center | 310 N San Saba, San Antonio, TX 78207-3199 | 2007-03-19 |
| 1174610786 | Thanh John Van Md Pa | Clinic/Center | 1415 Hyde Park Blvd Unit C, Houston, TX 77006-2503 | 2006-10-06 |
| Find all providers with the same taxonomy | ||||
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| 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.