Provider Demographics
NPI:1134570013
Name:CANCERDOCS
Entity type:Organization
Organization Name:CANCERDOCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOUEIRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-218-6424
Mailing Address - Street 1:2231 CENTER ST
Mailing Address - Street 2:SUITE B111
Mailing Address - City:DEER PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77536-4186
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2231 CENTER ST
Practice Address - Street 2:SUITE B111
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536-4186
Practice Address - Country:US
Practice Address - Phone:858-218-6424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7609207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty