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NPI Code Detail

MEDICARE: CENTURY RADIATION ONCOLOGY PLLC

MEDICARE: CENTURY RADIATION ONCOLOGY PLLC
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
12085R0001XRadiation Oncology PhysicianK9353TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21316009806OTHERTXNPI

General Provider Information

NPI Number : 1255569679
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTURY RADIATION ONCOLOGY PLLC
Provider Business Mailing Address
First Line : 6565 WEST LOOP S
Second Line : SUITE 400
City : BELLAIRE
State : TX
Zip : 77401-3500
Country : US
Telephone Number : 713-589-6879
Fax Number :
Provider Business Practice Location Address
First Line : 9150 S MAIN ST
Second Line : SUITE A-3
City : HOUSTON
State : TX
Zip : 77025-3843
Country : US
Telephone Number : 713-630-8161
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. SANJAY C MEHTA
Credential : MD
Telephone Number : 713-630-8161
Provider Enumeration Date : 06/24/2009
Last Update Date : 02/26/2013

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Directions to “CENTURY RADIATION ONCOLOGY PLLC ” Practice Location

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