Provider Demographics
NPI:1821175597
Name:WEST TEXAS BLOOD & CANCER CENTER, P.A.
Entity Type:Organization
Organization Name:WEST TEXAS BLOOD & CANCER CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:K
Authorized Official - Last Name:AUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-598-1666
Mailing Address - Street 1:10510 MONTWOOD DR STE A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-2703
Mailing Address - Country:US
Mailing Address - Phone:915-598-1666
Mailing Address - Fax:915-598-0515
Practice Address - Street 1:10510 MONTWOOD DR STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-2703
Practice Address - Country:US
Practice Address - Phone:915-598-1666
Practice Address - Fax:915-598-0515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF8743174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0032BYOtherBCBS GROUP PROVIDER #
TX88600FOtherBC/BS MARK AUNG IND #
TX0032BYOtherBC?BS GROUP PROVIDER #
TX88600FOtherBC/BS MARK AUNG IND #
TX88600FMedicare ID - Type UnspecifiedMARK K. AUNG, M.D. IND #