MEDICARE: GREATER HOUSTON ONCOLOGY 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000678R	OTHER	TX	BLUE SHIELD GRP BILLING N
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861537730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER HOUSTON ONCOLOGY PA

Provider Business Mailing Address
First Line	:	3304 MILAM ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-3618
Country	:	US
Telephone Number	:	713-524-5030
Fax Number	:	713-524-4508

Provider Business Practice Location Address
First Line	:	3304 MILAM ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-3618
Country	:	US
Telephone Number	:	713-524-5030
Fax Number	:	713-524-4508

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES TH CAO
Credential	:	MD
Telephone Number	:	713-524-5030

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	03/02/2010

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Directions to “GREATER HOUSTON ONCOLOGY PA ” Practice Location

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