Organization
METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES
Active
Parent organization
METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES
Other names
Arlington Cancer Center at Trophy Club Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES
Authorized official
KAREL ADRIAAN DICKE MD PHD (CEO MANAGING PARTNER)
(817) 261-4906
Entity
Organization
Contact information
Practice address
2800 E STATE HWY 114, SUITE 200 ARLINGTON CANCER CENTER AT TROPHY CLUB LAB, TROPHY CLUB, TX 76262-5306
(817) 837-3000
(817) 837-3005
Mailing address
PO BOX 974315, ARLINGTON CANCER CENTER AT TROPHY CLUB LAB, DALLAS, TX 75397-4315
(817) 261-4906
(817) 261-5837
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D1044546
CLIA CMS
—
Enumeration date
03/08/2006
Last updated
05/08/2008
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