East Texas Radiation Oncology, Pa in Dallas - Radiation Oncology

East Texas Radiation Oncology, Pa - NPI 1801809074

East Texas Radiation Oncology, Pa is a Radiation Oncology in Dallas, Texas. East Texas Radiation Oncology, Pa practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for East Texas Radiation Oncology, Pa is 1801809074. The last update date is 2007-10-16.

East Texas Radiation Oncology, Pa's current location address is Po Box 840059, Dallas, Texas. You can contact this provider via phone number 9035955550. The mailing address for East Texas Radiation Oncology, Pa is Po Box 840059, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization East Texas Radiation Oncology, Pa
Address Po Box 840059, Dallas, Texas
Phone Number 9035955550
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Kolker D James
Credentials MD
Telephone Number 9035955550

NPI Number Detail

NPI Number 1801809074
Provider Enumeration Date 2006-08-15
Last Updated Date 2007-10-16

Provider Mailing Address Detail

Address Po Box 840059
City Dallas
State Texas (TX)
Post Code 752840059
Phone Number 9035955550
Fax Number

Provider's Primary Taxonomy Detail

Speciality Radiation Oncology
Taxonomy 2085R0001X
Definition:
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0029AE TX BCBS GROUP NUMBER
CE8872 RR MEDICARE

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FAQs about East Texas Radiation Oncology, Pa

What is the East Texas Radiation Oncology, Pa's unique identification number?

The East Texas Radiation Oncology, Pa has been assigned the NPI (National Provider Identifier) Number 1801809074 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where East Texas Radiation Oncology, Pa's facilities are situated?

The facilities of East Texas Radiation Oncology, Pa are physically located at the following address: Po Box 840059, Dallas, TX, 752840059.

What is East Texas Radiation Oncology, Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for East Texas Radiation Oncology, Pa is Radiation Oncology, and the taxonomy classification code that categorizes this area of expertise is 2085R0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1801809074 to East Texas Radiation Oncology, Pa?

The Centers for Medicare & Medicaid Services originally issued the 1801809074 to East Texas Radiation Oncology, Pa on 2006-08-15.

As of what date were the details related to East Texas Radiation Oncology, Pa most recently updated or revised?

The information pertaining to East Texas Radiation Oncology, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-16.

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