Organization
CANCER CENTER ASSOCIATES
Active
Parent organization
CANCER CENTER ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANCER CENTER ASSOCIATES
Authorized official
AMANULLAH KHAN M.D. (PRESIDENT)
(214) 424-3613
Entity
Organization
Contact information
Practice address
2698 N GALLOWAY AVE, 103, MESQUITE, TX 75150
(972) 686-6646
(214) 905-7550
Mailing address
2540 N GALLOWAY AVE, 304, MESQUITE, TX 75150
(214) 424-3613
(214) 905-7550
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083503501
—
TX
Enumeration date
05/28/2010
Last updated
06/15/2010
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