Provider Demographics
NPI:1588618052
Name:CCNW I LP
Entity Type:Organization
Organization Name:CCNW I LP
Other - Org Name:CY-FAIR CANCER CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:
Authorized Official - Last Name:HYMEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-890-8885
Mailing Address - Street 1:10650 STEEPLETOP DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4221
Mailing Address - Country:US
Mailing Address - Phone:281-890-8885
Mailing Address - Fax:281-890-8208
Practice Address - Street 1:10650 STEEPLETOP DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4221
Practice Address - Country:US
Practice Address - Phone:281-890-8885
Practice Address - Fax:281-890-8208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX182422901Medicaid
00W820Medicare PIN