| NPI | 1205863263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN NIETO Credentialing 214-379-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology |
| 207RX0202X Internal Medicine Medical Oncology | |
| 2085R0001X Radiology Radiation Oncology | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QX0203X Clinic/Center Oncology, Radiation | |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-11-24 |