NACOGDOCHES HEMATOLOGY-ONCOLOGY CLINIC PA NPI 1588679047

NPI Information

NACOGDOCHES HEMATOLOGY-ONCOLOGY CLINIC PA is a hematology and oncology internal medicine in Nacogdoches, 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. NACOGDOCHES HEMATOLOGY-ONCOLOGY CLINIC PA NPI is 1588679047. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1225 N MOUND ST
NACOGDOCHES, TX
ZIP 75961-028
Phone: (936) 559-5330
Fax: (936) 559-7140

The provider's authorized official is Dyanesh Bapu G Ravindran .
The authorized official title is President and has the following contact phone number (936) 559-5330.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 7/30/2010.

Taxonomy Codes

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