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Nacogdoches Hematology-oncology Clinic Pa
Hematology & Oncology Physician in Nacogdoches, Texas
NPI 1588679047

Nacogdoches Hematology-oncology Clinic Pa is a Hematology & Oncology Physician based in Nacogdoches, TX and is specialized in Hematology & Oncology. Nacogdoches Hematology-oncology Clinic Pa practices in Nacogdoches, TX. The NPI Number for Nacogdoches Hematology-oncology Clinic Pa is 1588679047 and holds a License No. K4204 (Texas).

The current practice location address for Nacogdoches Hematology-oncology Clinic Pa is 1225 N Mound St, Nacogdoches, TX and can be reached out via phone at 936-559-5330 and via fax at 936-559-7140.

Location: 1225 N Mound St, Nacogdoches, TX, 75961-4028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588679047
Provider Name
Nacogdoches Hematology-oncology Clinic Pa
Credential
Provider Entity Type
Organization
Address
1225 N Mound St, Nacogdoches, TX, 75961-4028
Phone Number
936-559-5330
Fax Number
936-559-7140
Provider Enumeration Date
07/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
152183301 05 TX
0062HW 01 TX BC/BS PROVIDER #
institution
Provider Business Practice Location Address Details
Address
1225 N Mound St
City
Nacogdoches
State
Texas
Zip
75961-4028
Phone Number
936-559-5330
Fax Number
936-559-7140
person
Provider Business Mailing Address Details
Address
1225 N Mound St
City
Nacogdoches
State
Texas
Zip
75961-4028
Phone Number
936-559-5330
Fax Number
936-559-7140
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
K4204 (Texas)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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