Provider Demographics
NPI:1477806826
Name:HEMATOLOGY & MEDICAL ONCOLOGY CARE, PA
Entity Type:Organization
Organization Name:HEMATOLOGY & MEDICAL ONCOLOGY CARE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:EMMALIND
Authorized Official - Middle Name:
Authorized Official - Last Name:APONTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-885-0390
Mailing Address - Street 1:1205 S 19TH ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78405-1527
Mailing Address - Country:US
Mailing Address - Phone:361-885-0390
Mailing Address - Fax:361-904-0178
Practice Address - Street 1:1205 S 19TH ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78405-1527
Practice Address - Country:US
Practice Address - Phone:361-885-0390
Practice Address - Fax:361-904-0178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP1617207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty