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Organization

BLOOD AND MARROW TRANSPLANT SERVICES

Active
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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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