Provider Demographics
NPI:1215042759
Name:WESTERN RADIATION ONCOLOGY ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:WESTERN RADIATION ONCOLOGY ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BEHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-517-0262
Mailing Address - Street 1:PO BOX 299193
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77299-0193
Mailing Address - Country:US
Mailing Address - Phone:281-517-0262
Mailing Address - Fax:281-517-0263
Practice Address - Street 1:504 MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2808
Practice Address - Country:US
Practice Address - Phone:281-517-0262
Practice Address - Fax:281-517-0263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00U09EOtherBC/BS
TX00523RMedicare ID - Type Unspecified