Provider Demographics
NPI:1346288925
Name:BLOOD AND MARROW TRANSPLANT SERVICES
Entity Type:Organization
Organization Name:BLOOD AND MARROW TRANSPLANT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ERNEST
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-490-2900
Mailing Address - Street 1:PO BOX 911955
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1955
Mailing Address - Country:US
Mailing Address - Phone:214-370-1500
Mailing Address - Fax:214-370-1512
Practice Address - Street 1:3410 WORTH STREET, STE 300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246
Practice Address - Country:US
Practice Address - Phone:214-370-1500
Practice Address - Fax:214-370-1512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
29EMOtherBLUE CROSS OF TEXAS
30EMOtherBLUE CROSS OF TEXAS