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Contact Information

CANCER CENTER ASSOCIATES
2698 N GALLOWAY AVE
103
MESQUITE, TX75150
 Phone: 972-686-6646
 Fax: 214-905-7550
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CANCER CENTER ASSOCIATES · (Female)

NPI Number 1023337169
Status Active
Credentials
Entity Individual
Enumeration date 05/28/2010
Last updated 06/15/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 083503501
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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