Organization
NORTH TEXAS SURGICAL ONCOLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SMITH M.D. (PRESIDENT)
(972) 578-8877
Entity
Organization
Contact information
Practice address
4001 W 15TH ST STE 425, PLANO, TX 75093-5848
(972) 696-0030
(972) 696-0037
Mailing address
4001 W 15TH ST STE 425, PLANO, TX 75093-5848
(972) 696-0030
(972) 612-6800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015YG
BCBS
TX
05
—
330934601
—
TX
Enumeration date
11/25/2012
Last updated
05/16/2019
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