Provider Demographics
NPI:1366981615
Name:HOUSTON CANCER TREATMENT CENTERS PA.
Entity type:Organization
Organization Name:HOUSTON CANCER TREATMENT CENTERS PA.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:IRFAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAWED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-879-2942
Mailing Address - Street 1:4102 WOODLAWN AVE STE 160
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1922
Mailing Address - Country:US
Mailing Address - Phone:832-879-2942
Mailing Address - Fax:832-962-4937
Practice Address - Street 1:4102 WOODLAWN AVE STE 160
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1922
Practice Address - Country:US
Practice Address - Phone:832-879-2942
Practice Address - Fax:832-962-4937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty