Provider Demographics
NPI:1124095245
Name:MH RADIATION ONCOLOGY ASSOCIATED, P.A.
Entity type:Organization
Organization Name:MH RADIATION ONCOLOGY ASSOCIATED, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-520-8860
Mailing Address - Street 1:3801 KIRBY DR
Mailing Address - Street 2:SUITE 430
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-4100
Mailing Address - Country:US
Mailing Address - Phone:713-520-8860
Mailing Address - Fax:713-520-8775
Practice Address - Street 1:2491 S BRAESWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4332
Practice Address - Country:US
Practice Address - Phone:832-355-7118
Practice Address - Fax:713-520-8775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112514801Medicaid
TX112514801Medicaid
TX00D60NMedicare ID - Type Unspecified