Provider Demographics
NPI:1801033139
Name:NORTH HOUSTON CANCER CLINICS PA
Entity Type:Organization
Organization Name:NORTH HOUSTON CANCER CLINICS PA
Other - Org Name:ELHAM ABBASI-HAFSHEJANI MD
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBASI-HAFSHEJANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-439-5213
Mailing Address - Street 1:3115 COLLEGE PARK DR STE 108
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-4171
Mailing Address - Country:US
Mailing Address - Phone:936-439-5213
Mailing Address - Fax:936-439-5216
Practice Address - Street 1:3115 COLLEGE PARK DR
Practice Address - Street 2:SUITE 108
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-4000
Practice Address - Country:US
Practice Address - Phone:936-439-5213
Practice Address - Fax:936-439-5216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7632207RH0003X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX57TEOtherBCBS
TX57TEOtherBCBS
TXTXB100854Medicare PIN