MEDICARE: NORTH HOUSTON MEDICINE TUMOR & BLOOD CLINIC, P.A.

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	261QX0203X	Radiation Oncology Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number	:	1689683211
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH HOUSTON MEDICINE TUMOR & BLOOD CLINIC, P.A.

Provider Business Mailing Address
First Line	:	PO BOX 17119
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77496-7119
Country	:	US
Telephone Number	:	713-862-5695
Fax Number	:

Provider Business Practice Location Address
First Line	:	1631 NORTH LOOP W
Second Line	:	STE 100
City	:	HOUSTON
State	:	TX
Zip	:	77008-1539
Country	:	US
Telephone Number	:	713-862-5695
Fax Number	:	713-863-7381

Authorized Official
Title or Position	:	DOCTOR/OWNER
Name	:	DR. VINOD K BHUCHAR
Credential	:	M.D.
Telephone Number	:	713-862-5695

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	12/19/2013

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