University Diagnostic And Treatment Clinic
LBN: Gulf Coast Cancer & Diagnostic Center At Southeast
University Diagnostic And Treatment Clinic is an health care organization with primary practice located at 12811 Beamer Rd , Houston TX 77089-6140. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Oncology, Radiation. Ambulatory Health Care Facilities / Oncology, Radiation is the primary health care specialty.
Gulf Coast Cancer & Diagnostic Center At Southeast can be contacted via phone (713) 474-1414, or through Dandrea, Mark A via phone (713) 474-1414.
Contact Information
Primary practice address
12811 Beamer Rd
Houston TX 77089-6140
Phone: (713) 474-1414
Fax: (713) 474-8477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Oncology, Radiation | 261QX0203X |
Profile Details
| NPI number | 1194723296 |
|---|---|
| LBN Legal business name | Gulf Coast Cancer & Diagnostic Center At Southeast |
| DBA Doing business as | University Diagnostic And Treatment Clinic |
| Authorized official | Dandrea, Mark A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Apr 19th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194723296 | NPPES |
| Texas | MEDICAID | 149577201 | |
| Texas | Other | 0212DC |
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