Organization
NORTHEAST TEXAS ONCOLOGIC AND RECONSTRUCTIVE SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA E CUENCA MD (OWNER)
(903) 563-5478
Entity
Organization
Contact information
Practice address
301 W 18TH ST STE 101, MT PLEASANT, TX 75455-2370
(903) 563-5478
Mailing address
301 W 18TH ST STE 101, MT PLEASANT, TX 75455-2370
(903) 563-5478
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
TEMPORARY
TX
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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