Moncrief Cancer Institute
LBN: Ut Southwestern Moncrief Cancer Center
Moncrief Cancer Institute is an health care organization with primary practice located at 400 W Magnolia Ave , Fort Worth TX 76104-7617. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty.
Ut Southwestern Moncrief Cancer Center can be contacted via phone (817) 288-9800, or through Meyer, Bruce A. via phone (214) 645-0624.
Contact Information
Primary practice address
400 W Magnolia Ave
Fort Worth TX 76104-7617
Phone: (817) 288-9800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | G7980 | Texas |
Profile Details
| NPI number | 1134443765 |
|---|---|
| LBN Legal business name | Ut Southwestern Moncrief Cancer Center |
| DBA Doing business as | Moncrief Cancer Institute |
| Authorized official | Meyer, Bruce A. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 25th, 2010 |
| Last updated | Jul 11th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134443765 | NPPES |
| Texas | MEDICAID | 109397302 |
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