| Gulf Coast Cancer Center Of Pasadena | |
|
4135 Spencer Hwy Pasadena TX 77504-1209 | |
| (281) 579-0061 | |
| (281) 579-0093 |
| Full Name | Gulf Coast Cancer Center Of Pasadena |
|---|---|
| Speciality | Clinic/center |
| Location | 4135 Spencer Hwy, Pasadena, Texas |
| Authorized Official Name and Position | Mark A D'andrea (PHYSICIAN) |
| Authorized Official Contact | 2815790061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Cancer Center Of Pasadena Po Box 7894 Pasadena TX 77508-7894 Ph: (281) 579-0061 | Gulf Coast Cancer Center Of Pasadena 4135 Spencer Hwy Pasadena TX 77504-1209 Ph: (281) 579-0061 |
| NPI Number | 1710925953 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710925953 | NPI | - | NPPES |
| 0083CP | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | L05185 (Texas) | Primary |
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