Organization
USMD CANCER TREATMENT CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W BUKOSKY (PRESIDENT PPM)
(972) 847-0712
Entity
Organization
Contact information
Practice address
801 WEST INTERSTATE 20, SUITE 1, ARLINGTON, TX 76017-3252
(817) 514-5200
(817) 417-1153
Mailing address
PO BOX 678203, DALLAS, TX 75267-8203
(972) 847-0712
(817) 514-5246
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2010
Last updated
11/08/2016
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