Provider Demographics
NPI:1891947735
Name:CEN, PUTAO (MD)
Entity Type:Individual
Prefix:DR
First Name:PUTAO
Middle Name:
Last Name:CEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6410 FANNIN ST STE 830
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-5207
Mailing Address - Country:US
Mailing Address - Phone:713-704-3010
Mailing Address - Fax:713-704-3150
Practice Address - Street 1:6400 FANNIN ST
Practice Address - Street 2:2900
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-704-3961
Practice Address - Fax:713-704-3150
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7094207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX197686201Medicaid
TX8J1936OtherBCBS
TX8L4146Medicare PIN