Individual
DR. TINA CASCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BB4745785
MO
207RX0202X
Medical Oncology Physician
Primary
Q8848
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366111801 (MDACC)
—
TX
01
—
366111802
MEDICAID CSHCN
TX
01
—
8GM531
BCBS (MDACC)
TX
Enumeration date
07/14/2012
Last updated
11/12/2020
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