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ONCOLOGY-HEMATOLOGY CONSULTANTS PA NPI 1629021159


NPI Information

NPI: 1629021159
Provider Name: ONCOLOGY-HEMATOLOGY CONSULTANTS PA

Doing Business As: THE CENTER FOR CANCER AND BLOOD DISORDERS

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
800 W MAGNOLIA AVE
FORT WORTH, TX
ZIP 76104
Phone: (817) 759-7000
Get Directions

ONCOLOGY-HEMATOLOGY CONSULTANTS PA is a hematology and oncology internal medicine in Fort Worth, 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. ONCOLOGY-HEMATOLOGY CONSULTANTS PA NPI is 1629021159. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Center For Cancer And Blood Disorders.

The provider's business location address is:

800 W MAGNOLIA AVE
FORT WORTH, TX
ZIP 76104-611
Phone: (817) 759-7000

The provider's authorized official is Barry Russo .
The authorized official title is Executive Director and has the following contact phone number (817) 333-0175.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 4/10/2024.


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
1207RH0000XInternal MedicineHematologyNo
2207RH0002XInternal MedicineHospice and Palliative MedicineNo
3207RH0003XInternal MedicineHematology & OncologyYes
4207VX0201XObstetrics & GynecologyGynecologic OncologyNo
52085R0001XRadiologyRadiation OncologyNo
6208600000XSurgeryNo
72086X0206XSurgerySurgical OncologyNo
8225100000XPhysical TherapistNo

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
11093916-01MEDICAIDTEXAS

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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