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METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES NPI 1033397773


NPI Information

NPI: 1033397773
Provider Name: METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES

Doing Business As: ARLINGTON CANCER CENTER THE LAKES AT MATLOCK

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 45D1033835

Address:
3030 MATLOCK RD STE 206
ARLINGTON CANCER CENTER THE LAKES AT MATLOCK
ARLINGTON, TX
ZIP 76015
Phone: (817) 261-0929
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METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES is a hematology and oncology internal medicine in Arlington, 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. METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES NPI is 1033397773. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Arlington Cancer Center The Lakes At Matlock.

The provider's business location address is:

3030 MATLOCK RD STE 206
ARLINGTON CANCER CENTER THE LAKES AT MATLOCK
ARLINGTON, TX
ZIP 76015-936
Phone: (817) 261-0929
Fax: (817) 543-4675

The provider's authorized official is Alfred Distefano .
The authorized official title is Managing Partner and has the following contact phone number (817) 261-4906.

The CLIA number assigned to this NPI record is 45D1033835 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/5/2008 and was last updated on 5/8/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100LK20MEDICARE PINTEXAS

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: 4/28/2024

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