Organization
ONCOLOGY-HEMATOLOGY CONSULTANTS PA
Active
Other names
The Center for Cancer and Blood Disorders
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY RUSSO (CEO)
(817) 759-7000
Entity
Organization
Contact information
Practice address
800 W MAGNOLIA AVE, FORT WORTH, TX 76104-4611
(817) 759-7000
Mailing address
800 W MAGNOLIA AVE, FORT WORTH, TX 76104-4611
(817) 759-7000
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093916-01
—
TX
01
—
1143070
LICENSE
TX
Enumeration date
05/18/2006
Last updated
12/09/2025
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