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Contact Information

EAST TEXAS RADIATION ONCOLOGY, PA
721 CLINIC DR
TYLER, TX75701-2043
 Phone: 903-595-5550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for EAST TEXAS RADIATION ONCOLOGY PA · (Female)

NPI Number 1801809074
Status Active
Credentials
Entity Individual
Enumeration date 08/15/2006
Last updated 10/16/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • Other CE8872 RR MEDICARE
  • TX Other 0029AE BCBS GROUP NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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