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ONCOLOGY-HEMATOLOGY CONSULTANTS PA NPI 1669425617


NPI Information

NPI: 1669425617
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:
920 SANTA FE DR
WEATHERFORD, TX
ZIP 76086
Phone: (817) 596-0637
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ONCOLOGY-HEMATOLOGY CONSULTANTS PA is a hematology and oncology internal medicine in Weatherford, 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 1669425617. 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:

920 SANTA FE DR
WEATHERFORD, TX
ZIP 76086-864
Phone: (817) 596-0637

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 5/19/2006 and was last updated on 10/28/2020.


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
1207RH0000XInternal MedicineHematologyNo
2207RH0002XInternal MedicineHospice and Palliative MedicineNo
3207VG0400XObstetrics & GynecologyGynecologyNo
42085R0001XRadiologyRadiation OncologyNo
5208600000XSurgeryNo
6207RH0003XInternal 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11093916-02MEDICAIDTEXAS

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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