Organization
ATHENS CANCER CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL DIXON ANDERSON MD (GENERAL PARTNER)
(903) 677-8300
Entity
Organization
Contact information
Practice address
1801 S PALESTINE ST, ATHENS, TX 75751-5605
(903) 677-8300
(903) 677-8354
Mailing address
PO BOX 326, FLINT, TX 75762-0326
(903) 677-8300
(903) 677-8354
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
R24212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023C2
BLUE CROSS
TX
Enumeration date
07/12/2005
Last updated
08/22/2020
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