Blood And Cancer Center Of East Texas Pa

LBN: Blood And Cancer Center Of East Texas Pa
Blood And Cancer Center Of East Texas Pa is an health care organization with primary practice located at 825 Medical Dr , Tyler TX 75701-2143. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Blood And Cancer Center Of East Texas Pa can be contacted via phone (903) 597-2273, or through Gross, Gary Edward via phone (903) 597-2273.

Contact Information

Primary practice address
825 Medical Dr Tyler TX 75701-2143
Phone: (903) 597-2273
Fax: (903) 597-2466
Website:
Map and Directions
Authorized official contact:
Name: Gross, Gary Edward Doctor of Medicine (MD)
Phone: (903) 597-2273

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 207RH0003X Texas

Profile Details

NPI number 1417954751
LBN Legal business name Blood And Cancer Center Of East Texas Pa
DBA Doing business as
Authorized official Gross, Gary Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2005
Last updated Jul 15th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417954751 NPPES
Texas MEDICAID 156974101

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