| NPI | 1508053398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NELKA Practice Administrator 972-395-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0203X Clinic/Center, Oncology, Radiation (Licence: TX h5862) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology (Licence: TX H5862) |
| 261QX0200X Clinic/Center, Oncology (Licence: TX h5862) | |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-12-18 |