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NPI Code Detail

MEDICARE: ORA ONCOLOGY TEXAS PC

MEDICARE: ORA ONCOLOGY TEXAS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QX0200XOncology Clinic/Center

General Provider Information

NPI Number : 1598377442
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORA ONCOLOGY TEXAS PC
Provider Business Mailing Address
First Line : 5900 BROKEN SOUND PKWY NW
Second Line :
City : BOCA RATON
State : FL
Zip : 33487-2797
Country : US
Telephone Number : 561-408-7937
Fax Number :
Provider Business Practice Location Address
First Line : 7415 LAS COLINAS BLVD STE 100
Second Line :
City : IRVING
State : TX
Zip : 75063-7569
Country : US
Telephone Number : 561-408-7937
Fax Number :
Authorized Official
Title or Position : CHIEF CLIENT OFFICER
Name : MRS. ROSEMARY JONES
Credential :
Telephone Number : 561-408-7937
Provider Enumeration Date : 08/21/2020
Last Update Date : 08/21/2020

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