Individual
DR. ESTIL AUGUST VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN STE D220, DALLAS, TX 75230-2571
(972) 566-7790
(972) 566-3034
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
K6385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100138960A
—
OK
05
—
124287701
—
TX
01
—
124287702
CSHCN
TX
05
—
124287703
—
TX
05
—
124287704
—
TX
05
—
124287705
—
TX
05
—
24488712
—
NM
01
—
8R1574
BLUE CROSS OF TEXAS
TX
Enumeration date
06/14/2006
Last updated
03/20/2024
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