Organization
CLINICAL ONCOLOGY AND HEMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY WAYNE CROSBY CPR (DIRECTOR OF OPERATIONS)
(214) 916-9171
Entity
Organization
Contact information
Practice address
5939 HARRY HINES BLVD, SUITE 800, DALLAS, TX 75235-6246
(214) 916-9171
(214) 879-6249
Mailing address
5939 HARRY HINES BLVD, SUITE 800, DALLAS, TX 75235-6246
(214) 916-9171
(214) 879-6249
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G9925
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157308101
—
TX
Enumeration date
07/10/2008
Last updated
07/10/2008
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