Organization
CLINICAL ONCOLOGY & HEMATOLOGY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRIS ZUGELDER (CHIEF OPERATIONS OFFCIER)
(972) 566-7766
Entity
Organization
Contact information
Practice address
7777 FOREST LN, STE C-850, DALLAS, TX 75230-2571
(972) 566-7766
(972) 566-7796
Mailing address
7777 FOREST LN, STE C-850, DALLAS, TX 75230-2571
(972) 566-7766
(972) 566-7796
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099NC
BLUE CROSS BLUE SHIELD
TX
05
—
180168001
—
TX
01
—
DE0509
RAILROAD MEDICARE
TX
Enumeration date
03/15/2007
Last updated
03/12/2012
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