National Provider Identifier Database

EAST TEXAS RADIATION ONCOLOGY PA
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

EAST TEXAS RADIATION ONCOLOGY, PA
721 CLINIC DR
TYLER, TX75701-2043
Phone: 903-595-5550
Fax:
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for EAST TEXAS RADIATION ONCOLOGY, PA

NPI Number 1801809074
Legal business name
LBN
EAST TEXAS RADIATION ONCOLOGY, PA
Authorized official JAMES KOLKER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/15/2006
Last updated 10/16/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: CE8872 RR MEDICARE
  • TX Other: 0029AE BCBS GROUP NUMBER

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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