Provider Demographics
NPI:1982386405
Name:UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER
Entity Type:Organization
Organization Name:UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMD RPH/ASSISTANT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:713-563-8533
Mailing Address - Street 1:2130 W. HOLCOMBE BLVD
Mailing Address - Street 2:LSP7.3030
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3306
Mailing Address - Country:US
Mailing Address - Phone:713-563-8533
Mailing Address - Fax:
Practice Address - Street 1:2130 W. HOLCOMBE BLVD
Practice Address - Street 2:LSP7.3030
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3306
Practice Address - Country:US
Practice Address - Phone:713-563-8533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy