Dallas Oncology Consultants PA

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

DALLAS ONCOLOGY CONSULTANTS PA

Practice address

2800 E Broad St
Suite 212
Mansfield, TX 76063-6409

Phone

(682) 518-8444

Fax

(682) 518-8846

NPI assigned

Jul 11, 2008

Organization subpart

No

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

Authorized official

Name

Santiago Calderon

Title

Billing Business Manager

Phone

(972) 283-2389

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1700040490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E HIGHWAY 67",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751374159",
            "telephone_number": "972-283-2389",
            "fax_number": "972-283-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST",
            "address_2": "SUITE 212",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636409",
            "telephone_number": "682-518-8444",
            "fax_number": "682-518-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS ONCOLOGY CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "BILLING BUSINESS MANAGER",
        "authorized_official_telephone_number": "972-283-2389"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00U90U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190974901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hematology & Oncology Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Hematology & Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.