MEDICARE: HOUSTON CANCER TREATMENT CENTERS PA.

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
1	207RH0003X	Hematology & Oncology Physician

General Provider Information

NPI Number	:	1366981615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSTON CANCER TREATMENT CENTERS PA.

Provider Business Mailing Address
First Line	:	4102 WOODLAWN AVE STE 160
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-1922
Country	:	US
Telephone Number	:	832-879-2942
Fax Number	:	832-962-4937

Provider Business Practice Location Address
First Line	:	4102 WOODLAWN AVE STE 160
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-1922
Country	:	US
Telephone Number	:	832-879-2942
Fax Number	:	832-962-4937

Authorized Official
Title or Position	:	M.D.
Name	:	DR. IRFAN JAWED
Credential	:	M.D.
Telephone Number	:	832-879-2942

Provider Enumeration Date	:	02/20/2017
Last Update Date	:	02/23/2017

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