Provider Demographics
NPI:1215511530
Name:UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER
Entity type:Organization
Organization Name:UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT MANAGER, PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:P
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, RPH
Authorized Official - Phone:936-446-5034
Mailing Address - Street 1:100 FELLOWSHIP DRIVE
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384
Mailing Address - Country:US
Mailing Address - Phone:936-446-5034
Mailing Address - Fax:936-446-5036
Practice Address - Street 1:100 FELLOWSHIP DRIVE
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384
Practice Address - Country:US
Practice Address - Phone:936-446-5034
Practice Address - Fax:936-446-5036
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy