NPIMap

Organization Active NPI

Moncrief Cancer Center

  • Radiation Oncology Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1831192863
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
License
R01948 Issued in TX
Legal business name
MONCRIEF CANCER CENTER
Practice address
1450 8TH Ave
Fort Worth, TX 76104-4110
Phone
(817) 923-7393
Fax
(817) 927-4532
NPI assigned
May 23, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William Craig
Title
Executive Director
Phone
(817) 927-6323

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X R01948 TX Primary
Radiation Oncology Clinic/Center 261QX0203X L00384 TX

Addresses

Primary practice location

1450 8TH Ave
Fort Worth, TX 76104-4110

Mailing address

1450 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 923-7393

Other names 1

  • UT Southwestern Moncrief Cancer Center Other name

National Provider Directory

National Provider Directory
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.

Locations

1450 8th Ave
Ft Worth, TX 76104
Phone (817) 702-8300

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831192863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044110",
            "telephone_number": "817-923-7393",
            "fax_number": "817-927-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044110",
            "telephone_number": "817-923-7393",
            "fax_number": "817-927-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONCRIEF CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "817-927-6323",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "TX",
            "license": "R01948",
            "primary": true
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "TX",
            "license": "L00384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UT Southwestern Moncrief Cancer Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.