Provider Demographics
NPI:1598377442
Name:ORA ONCOLOGY TEXAS PC
Entity Type:Organization
Organization Name:ORA ONCOLOGY TEXAS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF CLIENT OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-408-7937
Mailing Address - Street 1:5900 BROKEN SOUND PKWY NW
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-2797
Mailing Address - Country:US
Mailing Address - Phone:561-408-7937
Mailing Address - Fax:
Practice Address - Street 1:7415 LAS COLINAS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-7569
Practice Address - Country:US
Practice Address - Phone:561-408-7937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORA ONCOLOGY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology