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General NPI Number Information
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NPI Number | 1528623519
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Entity Type | Organization
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Legal Business Name | HOUSTON CANCER TREATMENT & IMMUNOTHERAPY CENTER PLLC
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Dates
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Enumeration Date | 05/05/2019
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 1101 ALMA ST STE 106
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City | TOMBALL
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State | TX
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Zip | 77375-4559
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Country | US
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Telephone | 832-336-1853
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Fax | 832-663-0559
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Provider Business Mailing Address
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Address Line | 2911 JOSHUA TREE LN
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City | MANVEL
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State | TX
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Zip | 77578-3548
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Country | US
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Telephone | 832-336-1853
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Fax | 832-663-0559
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DIANE DUYEN NGUYEN
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Credential | MD
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Telephone | 832-336-1853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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