Provider Demographics
NPI:1881815991
Name:DALLAS CANCER SPECIALISTS P A
Entity Type:Organization
Organization Name:DALLAS CANCER SPECIALISTS P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZHIYONG
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-487-8866
Mailing Address - Street 1:PO BOX 451326
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75045-1326
Mailing Address - Country:US
Mailing Address - Phone:972-487-8866
Mailing Address - Fax:972-487-8190
Practice Address - Street 1:315 N SHILOH RD STE 101
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-6699
Practice Address - Country:US
Practice Address - Phone:972-487-8866
Practice Address - Fax:972-487-8190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDA9194OtherRAILROAD MEDICARE
TX00333TOtherBLUE CROSS BLUE SHIELD
TX151592601Medicaid
TX00333TMedicare PIN
TXDA9194OtherRAILROAD MEDICARE