Provider Demographics
NPI:1760934145
Name:CANCER CARE SERVICES
Entity Type:Organization
Organization Name:CANCER CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC SOCIAL WORKER/HOOD COUNTY
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PRESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:682-936-4050
Mailing Address - Street 1:8106 MELROSE ST E
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76108-2414
Mailing Address - Country:US
Mailing Address - Phone:817-932-4745
Mailing Address - Fax:
Practice Address - Street 1:623 S HENDERSON ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2920
Practice Address - Country:US
Practice Address - Phone:817-921-0653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37630251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health