Individual
DR. JANICE KELLY TOMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1612 HOSPITAL PKWY, BEDFORD, TX 76022-6913
(817) 685-4700
(817) 685-4595
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
H2839
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136929001
—
TX
05
—
136929005
—
TX
01
—
136929010
CSHCN
TX
05
—
136929012
—
TX
01
—
8R1570
BLUE CROSS OF TEXAS
TX
Enumeration date
06/04/2006
Last updated
06/20/2008
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