Provider Demographics
NPI:1487102521
Name:HOUSTON RADIATION PLLC
Entity type:Organization
Organization Name:HOUSTON RADIATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:C
Authorized Official - Last Name:MEHTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-630-8181
Mailing Address - Street 1:5113 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3320
Mailing Address - Country:US
Mailing Address - Phone:713-630-8181
Mailing Address - Fax:
Practice Address - Street 1:5113 LOCUST ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3320
Practice Address - Country:US
Practice Address - Phone:713-630-8181
Practice Address - Fax:713-838-9708
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANJAY C MEHTA MD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9353174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty