Provider Demographics
NPI:1598349870
Name:UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER
Entity Type:Organization
Organization Name:UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMD RPH/ASST MGR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOWREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-834-6633
Mailing Address - Street 1:2280 GULF FWY S
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-5143
Mailing Address - Country:US
Mailing Address - Phone:713-834-6633
Mailing Address - Fax:713-834-6632
Practice Address - Street 1:2280 GULF FWY S
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-5143
Practice Address - Country:US
Practice Address - Phone:713-834-6633
Practice Address - Fax:713-834-6632
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIV OF TEXAS MD ANDERSON CANCER CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy