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Dr. Henrik B Illum, MD
Hematology & Oncology Physician in Bedford, Texas
NPI 1982805164

Henrik B Illum is a Hematology & Oncology Physician based in Dallas, TX and is specialized in Hematology & Oncology. Henrik B Illum practices in Bedford, TX and has the professional credentials of MD. The NPI Number for Henrik B Illum is 1982805164 and holds a License No. N0118 (Texas).

The current practice location address for Henrik B Illum is 1615 Hospital Parkway, Bedford, TX and can be reached out via phone at 817-354-5581 and via fax at 817-359-9062.

Location: 1615 Hospital Parkway, Bedford, TX, 75391-1230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982805164
Provider Name
Henrik B Illum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1615 Hospital Parkway, Bedford, TX, 75391-1230
Phone Number
817-354-5581
Fax Number
817-359-9062
Provider Enumeration Date
05/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
194728503 05 TX
P01449276 01 TX RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1615 Hospital Parkway
City
Bedford
State
Texas
Zip
76022
Phone Number
817-354-5581
Fax Number
817-359-9062
person
Provider Business Mailing Address Details
Address
1615 Hospital Parkway
City
Bedford
State
Texas
Zip
76022
Phone Number
817-354-5581
Fax Number
817-359-9062
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
N0118 (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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