Kathleen Louise Shide in Dallas - Radiation Oncology
Kathleen Louise Shide - NPI 1073550455
Kathleen Louise Shide is a Radiation Oncology in Dallas, Texas. Kathleen Louise Shide practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Kathleen Louise Shide is 1073550455. The last update date is 2021-12-09.
Kathleen Louise Shide's current location address is Po Box 911230, Dallas, Texas. You can contact this provider via phone number 9729978000 and fax number 9724379605. The mailing address for Kathleen Louise Shide is Po Box 911230, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kathleen Louise Shide |
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Address | Po Box 911230, Dallas, Texas |
Phone Number | 9729978000 |
Fax Number | 9724379605 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1073550455 |
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Provider Enumeration Date | 2006-06-02 |
Last Updated Date | 2021-12-09 |
Provider Mailing Address Detail
Address | Po Box 911230 |
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City | Dallas |
State | Texas (TX) |
Post Code | 753911230 |
Phone Number | 9729978000 |
Fax Number | 9724379605 |
Provider's Primary Taxonomy Detail
Speciality | Radiation Oncology |
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Taxonomy | 2085R0001X |
Licence No | K3007 |
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 |
---|---|---|---|
8S3355 | TX | BLUE CROSS OF TEXAS | |
166057303 | TX | -- | |
166057302 | TX | -- |
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What is the unique identification code assigned to Kathleen Louise Shide by the Centers for Medicare & Medicaid Services?
The Kathleen Louise Shide has been issued the NPI (National Provider Identifier) 1073550455. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kathleen Louise Shide located?
The Kathleen Louise Shide is located at Po Box 911230, Dallas, TX 753911230.
What is the Kathleen Louise Shide's specialty and taxonomy code?
The Kathleen Louise Shide's specialty is Radiation Oncology, and the corresponding taxonomy code is 2085R0001X.
When did the Kathleen Louise Shide receive its 1073550455?
The Kathleen Louise Shide was issued its 1073550455 on 2006-06-02, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Kathleen Louise Shide most recently updated or revised?
The information pertaining to Kathleen Louise Shide, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-09.