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Organization
BLOOD AND CANCER CENTER OF EAST TEXAS PA
Active
Organization
BLOOD AND CANCER CENTER OF EAST TEXAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY EDWARD GROSS M.D. (OWNER)
(903) 597-2273
Entity
Organization
Contact information
Practice address
825 MEDICAL DR, TYLER, TX 75701-2143
(903) 597-2273
(903) 597-2466
Mailing address
825 MEDICAL DR, TYLER, TX 75701-2143
(903) 597-2273
(903) 597-2466
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
207RH0003X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156974101
—
TX
Enumeration date
07/01/2005
Last updated
07/15/2010
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