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NPI Code Detail

MEDICARE: UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER

MEDICARE: UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center
2284300000XSpecial Hospital
3261QA1903XAmbulatory Surgical Clinic/Center
4282N00000XGeneral Acute Care Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1026969099OTHEROWCP - ENERGY PROGRAM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4026969099OTHEROWCP - BLACK LUNG PROGRAM
5026969099OTHEROWCP - FECA PROGRAM

General Provider Information

NPI Number : 1174582050
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER
Provider Business Mailing Address
First Line : PO BOX 4434
Second Line :
City : HOUSTON
State : TX
Zip : 77210-4439
Country : US
Telephone Number : 713-792-6161
Fax Number :
Provider Business Practice Location Address
First Line : 1515 HOLCOMBE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4009
Country : US
Telephone Number : 713-792-2121
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT, REVENUE CYCLE
Name : MIRIAM FLORES
Credential :
Telephone Number : 713-792-3751
Provider Enumeration Date : 03/21/2006
Last Update Date : 09/24/2024

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Directions to “UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER ” Practice Location

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