Provider Demographics
NPI:1457437618
Name:TEXAS HEMATOLOGY/ONCOLOGY CENTER, PA
Entity type:Organization
Organization Name:TEXAS HEMATOLOGY/ONCOLOGY CENTER, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:H
Authorized Official - Last Name:BIRENBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-247-5510
Mailing Address - Street 1:10 MEDICAL PKWY
Mailing Address - Street 2:SUITE#106
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7840
Mailing Address - Country:US
Mailing Address - Phone:972-247-5510
Mailing Address - Fax:972-243-9178
Practice Address - Street 1:4601 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1771
Practice Address - Country:US
Practice Address - Phone:972-562-9222
Practice Address - Fax:972-562-9211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX24458OtherPHARMACY LICENSE#
TX4540678OtherNCPDP