Organization
ONCOLOGY PHARMACY SERVICES INC.
Active
Other names
Texas Oncology Pharmacy Willowbrook
Organization subpart
No
Provider details
NPI number
Authorized official
TODD KEVIN BIVONA (REVENUE CYCLE MANAGER)
(972) 997-8103
Entity
Organization
Contact information
Practice address
13215 DOTSON RD STE 300, HOUSTON, TX 77070-4535
(832) 996-4029
Mailing address
PO BOX 731145, DALLAS, TX 75373-1145
(972) 997-8103
(469) 467-2535
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31739
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31739
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
12/27/2017
Last updated
10/10/2020
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