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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

NPI # 1023337169
LBN Legal business name CANCER CENTER ASSOCIATES
Authorized official AMANULLAH KHAN - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/28/2010
Last updated 06/15/2010 - About 16 years ago
Identifiers
TX Medicaid 083503501
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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