Provider Demographics
NPI:1730475062
Name:CANCER STRATEGIES INSTITUTE, LP
Entity Type:Organization
Organization Name:CANCER STRATEGIES INSTITUTE, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:ECHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-379-2700
Mailing Address - Street 1:7415 LAS COLINAS BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7568
Mailing Address - Country:US
Mailing Address - Phone:214-379-2700
Mailing Address - Fax:972-869-3875
Practice Address - Street 1:7415 LAS COLINAS BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-7568
Practice Address - Country:US
Practice Address - Phone:214-379-2700
Practice Address - Fax:214-379-2750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH68092085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX193414303Medicaid
TX00W667OtherMEDICARE PTAN