Ut Southwestern Moncrief Cancer Center

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G7980 Issued in TX

Legal business name

UT SOUTHWESTERN MONCRIEF CANCER CENTER

Doing business as

Moncrief Cancer Institute

Practice address

400 W Magnolia Ave
Fort Worth, TX 76104-7617

Phone

(817) 288-9800

NPI assigned

Mar 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Bruce A. Meyer, M.D.

Title

Executive Vice President

Phone

(214) 645-0624

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Moncrief Cancer Institute Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Moncrief Cancer Center2 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.

• Moncrief Cancer Center

  • Radiation Oncology Clinic/Center
  • Fort Worth, TX
  • NPI 1831192863
  NPD tax ID

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1134443765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MAGNOLIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047617",
            "telephone_number": "817-288-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAGNOLIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047617",
            "telephone_number": "817-288-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UT SOUTHWESTERN MONCRIEF CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "214-645-0624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "G7980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109397302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moncrief Cancer Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Usrc Tarrant L P
• Usrc TC Home LP
• Damon Roan Ussery Jr., CRNA
• Usv Optical Inc.
• Usv Optical, Inc.
• Katherine Anne Utech, MD
• Annick Uwimana, PMHNP
• Jennifer Uxer, DO
• Eugenia Uzoechi, APRN-CNP
• Akwaugo Thelma Uzoegwu, M.D.

• Medical Specialty Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.