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Dr. Kathleen Louise Shide, MD
Radiation Oncology Physician in Fort Worth, Texas
NPI 1073550455

Kathleen Louise Shide is a Radiation Oncology Physician based in Dallas, TX and is specialized in Radiation Oncology. Kathleen Louise Shide practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Kathleen Louise Shide is 1073550455 and holds a License No. K3007 (Texas).

The current practice location address for Kathleen Louise Shide is 500 S Henderson St Ste 200, Fort Worth, TX and can be reached out via phone at 174-131-5008 and via fax at 817-413-1499.

Location: 500 S Henderson St Ste 200, Fort Worth, TX, 75391-1230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073550455
Provider Name
Kathleen Louise Shide
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
500 S Henderson St Ste 200, Fort Worth, TX, 75391-1230
Phone Number
174-131-5008
Fax Number
817-413-1499
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8S3355 01 TX BLUE CROSS OF TEXAS
166057303 05 TX
166057302 05 TX
institution
Provider Business Practice Location Address Details
Address
500 S Henderson St Ste 200
City
Fort Worth
State
Texas
Zip
76104-2154
Phone Number
174-131-5008
Fax Number
817-413-1499
person
Provider Business Mailing Address Details
Address
500 S Henderson St Ste 200
City
Fort Worth
State
Texas
Zip
76104-2154
Phone Number
174-131-5008
Fax Number
817-413-1499
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
K3007 (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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