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NPI Code Detail

MEDICARE: TEXAS ONCOLOGY PA

MEDICARE: TEXAS ONCOLOGY PA
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
12085R0001XRadiation Oncology Physician
2207RH0003XHematology & Oncology Physician
3207VX0201XGynecologic Oncology Physician
42080P0207XPediatric Hematology & Oncology Physician
5208600000XSurgery Physician
6207RX0202XMedical Oncology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033386578
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS ONCOLOGY PA
Provider Business Mailing Address
First Line : PO BOX 911230
Second Line :
City : DALLAS
State : TX
Zip : 75391-1230
Country : US
Telephone Number : 972-997-8000
Fax Number : 972-234-2987
Provider Business Practice Location Address
First Line : 6500 HARRIS PKWY
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4136
Country : US
Telephone Number : 972-997-8000
Fax Number : 972-234-2987
Authorized Official
Title or Position : CHIEF OPERATING O
Name : JASON D SHOOK
Credential :
Telephone Number : 972-490-2947
Provider Enumeration Date : 05/14/2008
Last Update Date : 05/24/2021

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1770515900 — DR. HAROLD PAUL FREEMAN JR. MD
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1679580435 — MARK D DAVIS PA-C
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1730300773 — DR. RANDALL DAVID CRIM MD
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1932411683 — DR. JENNIFER ANNA LEE HECHT D.O.
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Practice Fax: 817-263-5805

Directions to “TEXAS ONCOLOGY PA ” Practice Location

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