# USMD CANCER TREATMENT CENTERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508178229
- **Authorized official:** MICHAEL W BUKOSKY (PRESIDENT PPM)
- **Authorized official phone:** (972) 847-0712

## Contact information

- **Practice address:** 801 WEST INTERSTATE 20, SUITE 1, ARLINGTON, TX 76017-3252
- **Practice address phone:** (817) 514-5200
- **Practice address fax:** (817) 417-1153
- **Mailing address:** PO BOX 678203, DALLAS, TX 75267-8203
- **Mailing address phone:** (972) 847-0712
- **Mailing address fax:** (817) 514-5246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2010
- **Last updated:** 11/08/2016
