Organization
BLOOD AND MARROW TRANSPLANT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON D SHOOK (CHIEF OPERATING OFFICER)
(415) 205-4379
Entity
Organization
Contact information
Practice address
3410 WORTH STREET, STE 300, DALLAS, TX 75246
(214) 370-1500
(214) 370-1512
Mailing address
PO BOX 911955, DALLAS, TX 75391-1955
(214) 370-1500
(214) 370-1512
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29EM
BLUE CROSS OF TEXAS
—
01
—
30EM
BLUE CROSS OF TEXAS
—
Enumeration date
06/03/2006
Last updated
08/21/2024
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