Organization
EAST TEXAS RADIATION ONCOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D KOLKER MD (PRESIDENT)
(903) 595-5550
Entity
Organization
Contact information
Practice address
721 CLINIC DR, TYLER, TX 75701-2043
(903) 595-5550
Mailing address
PO BOX 840059, DALLAS, TX 75284-0059
(903) 595-5550
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029AE
BCBS GROUP NUMBER
TX
01
—
CE8872
RR MEDICARE
—
Enumeration date
08/15/2006
Last updated
10/16/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us