Organization
NORTH TEXAS SURGICAL ONCOLOGY ASSOCIATES PLLC
Active
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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