Active NPI
Cancer Center Associates
- Specialist
- Mesquite, TX
National Provider Identifier
1023337169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- CANCER CENTER ASSOCIATES
- Practice address
- 2698 N Galloway Ave
103
Mesquite, TX 75150 - Phone
- (972) 686-6646
- Fax
- (214) 905-7550
- NPI assigned
- May 28, 2010
- Organization subpart
- Yes
- Parent organization
- CANCER CENTER ASSOCIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanullah Khan, M.D.
- Title
- President
- Phone
- (214) 424-3613
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2698 N Galloway Ave
103
Mesquite, TX 75150
Mailing address
2540 N Galloway Ave
304
Mesquite, TX 75150
Phone (214) 424-3613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 083503501 | Medicaid | TX |
National Provider Directory
National Provider Directory- Part of
- Cancer Center Associates
Locations
2698 N Galloway Ave
Ste 103
Mesquite, TX 75150
Phone (214) 905-1300
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Specialist
- McKinney, TX
- NPI 1295744803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276560000000",
"number": "1023337169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 N GALLOWAY AVE",
"address_2": "304",
"city": "MESQUITE",
"state": "TX",
"postal_code": "75150",
"telephone_number": "214-424-3613",
"fax_number": "214-905-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2698 N GALLOWAY AVE",
"address_2": "103",
"city": "MESQUITE",
"state": "TX",
"postal_code": "75150",
"telephone_number": "972-686-6646",
"fax_number": "214-905-7550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANCER CENTER ASSOCIATES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CANCER CENTER ASSOCIATES",
"enumeration_date": "2010-05-28",
"last_updated": "2010-06-15",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "AMANULLAH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-424-3613",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "083503501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.