HOUSTON NORTHWEST RADIOTHERAPY CENTER
Ambulatory Health at Peakwood Dr, Houston, TX

License number
Texas L02416
Category
Ambulatory Health
Type
Oncology, Radiation
Owner
Name: MRS. CYNTHIA DAVILA-PRUNEDA
Title: MANAGER
Phone: (281) 579-0061
Address
Address
810 Peakwood Dr SUITE D, Houston, TX 77090
National Provider ID: 1447258520
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTHWEST RADIOTHERAPY CENTER OF HOUSTON INC

714 Fm 1960 E #108, Houston, TX 77073

Status:
Inactive
Doing business as:
Houston Northwest Radiotherapy Center, Inc<br>Northwest Radiotherapy Center of Houston, Inc
Registration:
Jul 8, 1987
State ID:
0104389200
Business type:
Domestic For-Profit Corporation
Ps:
William H Fagan (P), 22619 Aldine Westfield SUITE 2, Spring, TX 77373,Charles M Hill VP, inactive, 800 Peakwood SUITE 7F, Houston, TX 77090,Clarence O Dube S/T, inactive, 800 Peakwood SUITE 7F, Houston, TX 77090,...
Agent:
M L Ayers,22619 Aldine Westfield SUITE 2, Spring, TX 77373 (Physical)
TIN:
17602235891

HOUSTON NORTHWEST RADIOTHERAPY CENTER, LC

Houston, TX

Status:
Inactive
Doing business as:
Houston Northwest Radiotherapy Center, LC
Registration:
Nov 24, 1993
Addresses:
PO Box 73152, Houston, TX 77273 (Mailing)
810 Peakwood Dr, Houston, TX 77090
PO Box 73408, Houston, TX 77273
State ID:
0700481022
Business type:
Domestic Limited Liability Company (LLC)
MEMBER, Members:
M. Elizabeth Sands MEMBER, Member, inactive, PO Box 73408, Houston, TX 77273,Neelofur R Ahmad MEMBER, Member, inactive, PO Box 73408, Houston, TX 77273
TIN:
17602347662

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