DALLAS ONCOLOGY CONSULTANTS PA NPI 1700040490

NPI Information

NPI: 1700040490
Provider Name: DALLAS ONCOLOGY CONSULTANTS PA
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
2800 E BROAD ST
SUITE 212
MANSFIELD, TX
ZIP 76063
Phone: (682) 518-8444
Get Directions

DALLAS ONCOLOGY CONSULTANTS PA is a hematology and oncology internal medicine in Mansfield, 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. DALLAS ONCOLOGY CONSULTANTS PA NPI is 1700040490. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2800 E BROAD ST
SUITE 212
MANSFIELD, TX
ZIP 76063-409
Phone: (682) 518-8444
Fax: (682) 518-8846

The provider's authorized official is Santiago Calderon .
The authorized official title is Billing Business Manager and has the following contact phone number (972) 283-2389.

The enumeration date for this NPI number is 7/11/2008 and was last updated on 11/11/2010.

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
1	207RH0003X	Internal Medicine	Hematology & Oncology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00U90U	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
2	190974901	MEDICAID	TEXAS
3	00X766	MEDICARE PIN	TEXAS

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »