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East Texas Medical Center Cancer Institute
Radiation Oncology Physician in Tyler, Texas
NPI 1023121522

East Texas Medical Center Cancer Institute is a Radiation Oncology Physician based in Tyler, TX and is specialized in Radiation Oncology. East Texas Medical Center Cancer Institute practices in Tyler, TX. The NPI Number for East Texas Medical Center Cancer Institute is 1023121522 and holds a License No. (Texas).

The current practice location address for East Texas Medical Center Cancer Institute is 721 Clinic Dr, Tyler, TX and can be reached out via phone at 903-595-5550. You can also correspond with East Texas Medical Center Cancer Institute through the mailing address at PO BOX 7908, TYLER, TX - 75711-7908 (mailing address contact number: 903-531-2371).

Location: 721 Clinic Dr, Tyler, TX, 75711-7908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023121522
Provider Name
East Texas Medical Center Cancer Institute
Credential
Provider Entity Type
Organization
Address
721 Clinic Dr, Tyler, TX, 75711-7908
Phone Number
903-595-5550
Fax Number
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00SN36 01 TX BCBS OF TEXAS
085049701 05 TX
institution
Provider Business Practice Location Address Details
Address
721 Clinic Dr
City
Tyler
State
Texas
Zip
75701-2043
Phone Number
903-595-5550
Fax Number
person
Provider Business Mailing Address Details
Address
721 Clinic Dr
City
Tyler
State
Texas
Zip
75701-2043
Phone Number
903-595-5550
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
(Texas)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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