Provider Demographics
NPI:1073954335
Name:HOUSTON ONCOLOGY
Entity Type:Organization
Organization Name:HOUSTON ONCOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AYMAN
Authorized Official - Middle Name:SALAH
Authorized Official - Last Name:ALHAKIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-225-9667
Mailing Address - Street 1:PO BOX 14485
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31203-4485
Mailing Address - Country:US
Mailing Address - Phone:478-225-9667
Mailing Address - Fax:478-225-9089
Practice Address - Street 1:124 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-4204
Practice Address - Country:US
Practice Address - Phone:478-225-9667
Practice Address - Fax:478-225-9089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA23012207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty