Southwest Hematology-Oncology Associates PA

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

15666 Issued in TX

Legal business name

SOUTHWEST HEMATOLOGY-ONCOLOGY ASSOCIATES PA

Practice address

4002 21St St
Ste B
Lubbock, TX 79410-1135

Phone

(806) 793-8310

Fax

(806) 793-7871

NPI assigned

Aug 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brance Wilson, PHARMD

Title

Director of Pharmacy

Phone

(806) 793-6654

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• SOUTHWEST HEMATOLOGY ONCOLOGY ASSOCIATES LLC Doing business as

Tax ID family

Southwest Hematology Oncology Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southwest Hematology Oncology Associates, P.a.

  • Clinical Medical Laboratory
  • Lubbock, TX
  • NPI 1447326095
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rodolfo E. Martinez, M.D.

  • Medical Oncology Physician
  • Lubbock, TX
  • NPI 1184642282
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1073524666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 21ST ST",
            "address_2": "STE B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101135",
            "telephone_number": "806-793-8310",
            "fax_number": "806-793-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 21ST ST",
            "address_2": "STE B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101135",
            "telephone_number": "806-793-8310",
            "fax_number": "806-793-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEMATOLOGY-ONCOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRANCE",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "806-793-6654",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "15666",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093517",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081556501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHWEST HEMATOLOGY ONCOLOGY ASSOCIATES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Diagnostic Clinic LLP
• Southwest Diagnostic Clinic LLP
• Southwest Diagnostic Clinic, L.L.P.
• Southwest Hematology Oncology Associates, P.a.
• Southwest Hematology Oncology Associates, PA
• Southwest Medical Supply Co Inc.
• Southwest Mental Health Associates PLLC
• Southwest Surgical Assistants, Inc.
• Southwestern Cardiovascular Surgical Associates
• J Eric Sparks, M.D.

• Community/Retail Pharmacy in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.