Organization
TEXAS ONCOLOGY PA
Active
Parent organization
TEXAS ONCOLOGY PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEXAS ONCOLOGY PA
Authorized official
MR. JASON D SHOOK (CHIEF OPERATING OFFICE)
(972) 490-2947
Entity
Organization
Contact information
Practice address
3410 WORTH ST, DALLAS, TX 75246-2003
(972) 997-8000
(972) 234-2987
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
207RX0202X
Medical Oncology Physician
Primary
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140414745
—
TX
Enumeration date
05/14/2008
Last updated
05/24/2021
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