Provider Demographics
NPI:1619060209
Name:MD ANDERSON CANCER CENTER
Entity Type:Organization
Organization Name:MD ANDERSON CANCER CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:ENRIQUE
Authorized Official - Last Name:ROMAGUERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-792-2860
Mailing Address - Street 1:1515 HOLCOMBE BLVD
Mailing Address - Street 2:MD ANDERSON CANCER CTR, LYMPHOMA/MYELOMA DEPT #429
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-792-2860
Mailing Address - Fax:713-794-5656
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:MD ANDERSON CANCER CTR, LYMPHOMA/MYELOMA DEPT #429
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-792-2860
Practice Address - Fax:713-794-5656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3838284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital