Provider Demographics
NPI: | 1700017449 |
---|---|
Name: | TEXIENNE ONCOLOGY CENTERS, PLLC |
Entity Type: | Organization |
Organization Name: | TEXIENNE ONCOLOGY CENTERS, PLLC |
Other - Org Name: | GREATER HOUSTON PHYSICIANS MEDICAL ASSOCIATION, PLLC |
Other - Org Type: | Former Legal Business Name |
Authorized Official - Title/Position: | CEO AND PRESIDENT |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | ASIT |
Authorized Official - Middle Name: | J |
Authorized Official - Last Name: | CHOKSI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 832-813-5259 |
Mailing Address - Street 1: | 9303 PINECROFT DR STE 280 |
Mailing Address - Street 2: | |
Mailing Address - City: | SHENANDOAH |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77380-3180 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 832-813-5259 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 9303 PINECROFT DR STE 280 |
Practice Address - Street 2: | |
Practice Address - City: | THE WOODLANDS |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77380-3180 |
Practice Address - Country: | US |
Practice Address - Phone: | 832-813-5259 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-07-29 |
Last Update Date: | 2020-06-24 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
111NI0900X, 207RG0100X, 207RH0000X, 207V00000X, 2085R0202X, 208600000X, 208D00000X, 208VP0000X | ||
TX | 207Q00000X, 207R00000X, 207RH0003X, 207RR0500X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | Group - Multi-Specialty |
No | 111NI0900X | Chiropractic Providers | Chiropractor | Internist | Group - Multi-Specialty |
No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
No | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | Group - Multi-Specialty |
No | 207RH0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology | Group - Multi-Specialty |
No | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | Group - Multi-Specialty |
No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Multi-Specialty | |
No | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | Group - Multi-Specialty |
No | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Multi-Specialty | |
No | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | Group - Multi-Specialty | |
No | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
TX | 8L26797 | Medicare PIN | |
TX | 6349400002 | Medicare NSC | |
TX | 8L26532 | Medicare PIN | |
TX | TXB117013 | Medicare PIN | |
8L24462 | Medicare PIN |