Provider Demographics
NPI:1770911349
Name:WESTCHASE ONCOLOGY CENTER
Entity type:Organization
Organization Name:WESTCHASE ONCOLOGY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HOMAYOUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ATAEI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-798-0193
Mailing Address - Street 1:PO BOX 337
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:KS
Mailing Address - Zip Code:66085-0337
Mailing Address - Country:US
Mailing Address - Phone:832-917-1888
Mailing Address - Fax:832-408-8552
Practice Address - Street 1:9701 RICHMOND AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4633
Practice Address - Country:US
Practice Address - Phone:832-917-1888
Practice Address - Fax:832-408-8552
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WESTCHASE CLINICAL ASSOCIATES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-17
Last Update Date:2013-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP6575207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty