Organization
SOUTHEAST TEXAS HEMATOLOGY AND ONCOLOGY CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HILAL M FANASCH M.D. (OWNER)
(409) 982-5166
Entity
Organization
Contact information
Practice address
5957 9TH AVE, PORT ARTHUR, TX 77642-6204
(409) 982-5166
Mailing address
5957 9TH AVE, PORT ARTHUR, TX 77642-6204
(409) 982-5166
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K1430
TX
Other
Enumeration date
12/04/2005
Last updated
08/22/2020
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