Gulf Coast Cancer & Diagnostic Center at Southeast

NPI #1194723296 in Houston, Texas

Provider Information

NPI Number: 1194723296
Entity Type: Organization
Organization Name: Gulf Coast Cancer & Diagnostic Center at Southeast
Primary Specialty: Clinic/Center - Oncology, Radiation
Enumeration Date: Jul 12, 2005
Last Updated: Apr 19, 2016

Practice Location

Address: 12811 BEAMER RD
City: Houston
State: Texas
ZIP Code: 77089-6140
Phone: (713) 474-1414

Authorized Official

Name: MARK A DANDREA, MD
Title: OWNER
Phone: (713) 474-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Clinic/Center - Oncology, Radiation — Oncology, Radiation	261QX0203X	Primary

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