Organization
SOUTHLAKE ONCOLOGY
Active
Organization
SOUTHLAKE ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DOWLER (PRACTICE MANAGER)
(817) 416-0202
Entity
Organization
Contact information
Practice address
1545 E SOUTHLAKE BLVD, SUITE 280, SOUTHLAKE, TX 76092-6465
(817) 416-0202
Mailing address
1545 E SOUTHLAKE BLVD, SUITE 280, SOUTHLAKE, TX 76092-6465
(817) 416-0202
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
K3595
TX
Other
Enumeration date
11/07/2007
Last updated
03/12/2008
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