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ALICE CANCER CARE MANAGEMENT LLC NPI 1003327362


NPI Information

NPI: 1003327362
Provider Name: ALICE CANCER CARE MANAGEMENT LLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
2520 E MAIN ST STE 200
ALICE, TX
ZIP 78332
Phone: (361) 453-4117
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ALICE CANCER CARE MANAGEMENT LLC is a hematology and oncology internal medicine in Alice, TX. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. ALICE CANCER CARE MANAGEMENT LLC NPI is 1003327362. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2520 E MAIN ST STE 200
ALICE, TX
ZIP 78332-188
Phone: (361) 453-4117
Fax: (361) 453-4218

The provider's authorized official is Mohamad A Ghraowi .
The authorized official title is Owner and has the following contact phone number (361) 453-4117.

The enumeration date for this NPI number is 10/13/2017 and was last updated on 10/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyJ6958TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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