Provider Demographics
NPI:1053446534
Name:WESTERM RADIATION ONCOLOGY ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:WESTERM RADIATION ONCOLOGY ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:BEHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-517-0262
Mailing Address - Street 1:P.O. BOX 203594
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-3594
Mailing Address - Country:US
Mailing Address - Phone:281-517-0262
Mailing Address - Fax:281-517-0263
Practice Address - Street 1:21216 NORTHWEST FREEWAY
Practice Address - Street 2:SUITE 110
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429
Practice Address - Country:US
Practice Address - Phone:832-912-3650
Practice Address - Fax:832-912-3838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX141634902Medicaid
TX00U09EOtherBLUE CROSS BLUE SHIELD
TXCJ4437OtherMEDICARE RAILROAD UPIN
TX00U09EOtherBLUE CROSS BLUE SHIELD