Healthcare Provider Details

I. General information

NPI: 1679578926
Provider Name (Legal Business Name): ABILENE HEMAT ONCO GRP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 PINE ST
ABILENE TX
79601-2434
US

IV. Provider business mailing address

2000 PINE ST
ABILENE TX
79601-2434
US

V. Phone/Fax

Practice location:
  • Phone: 325-673-0100
  • Fax:
Mailing address:
  • Phone: 325-673-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number StateTX

VIII. Authorized Official

Name: DR. VICTOR J HIRSCH JR.
Title or Position: PRESIDENT
Credential: MS,MD, FACP
Phone: 325-673-0100