Northeast Texas Oncologic and Reconstructive Surgery PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

TEMPORARY Issued in TX

Legal business name

NORTHEAST TEXAS ONCOLOGIC AND RECONSTRUCTIVE SURGERY PA

Practice address

301 W 18TH St Ste 101
Mt Pleasant, TX 75455-2370

Phone

(903) 563-5478

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Rosa E Cuenca, MD

Title

Owner

Phone

(903) 563-5478

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1300/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1164622833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 18TH ST STE 101",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552370",
            "telephone_number": "903-563-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 18TH ST STE 101",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552370",
            "telephone_number": "903-563-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST TEXAS ONCOLOGIC AND RECONSTRUCTIVE SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "CUENCA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-563-5478",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "TEMPORARY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Mt Pleasant, TX
• Providers in Mt Pleasant, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.