Organization Name: | RADIATION ONCOLOGY ASSOCIATES OF GULF COAST, L.L.P. |
NPI Number: | 1295809978 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GRACE LING CHEN (OFFICE ADMINISTRATOR) |
Mailing Address: | 1400 Highway 59 Loop N Wharton |
State: | TX US |
Postal Code: | 774887807 |
Phone Number: | 3615769812 |
Fax Number: | 3615741580 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 02/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0203X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Therapeutic Radiology |
Taxonomy Definition: |