Organization
TEXAS ONCOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON D SHOOK (CHIEF FINANCIAL OFFICER)
(415) 205-4379
Entity
Organization
Contact information
Practice address
7848 GATEWAY BLVD E, EL PASO, TX 79915-1815
(972) 997-8000
(972) 234-2987
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
207RX0202X
Medical Oncology Physician
Primary
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100753280A
—
OK
05
—
131329002
—
AR
05
—
140414748
—
TX
Enumeration date
05/30/2006
Last updated
08/23/2024
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