Healthcare Provider Details
I. General information
NPI: 1174989859
Provider Name (Legal Business Name): ONCOLOGY CONSULTANTS, P. A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/11/2016
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1920 COUNTRY PLACE PKWY SUITE 370
PEARLAND TX
77584-2282
US
IV. Provider business mailing address
902 FROSTWOOD DR SUITE 315
HOUSTON TX
77024-2420
US
V. Phone/Fax
- Phone: 832-333-1400
- Fax: 832-333-1499
- Phone: 713-800-0656
- Fax: 713-827-1380
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LUIS
T
CAMPOS
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 713-800-0656