Provider Demographics
NPI:1700066255
Name:TEXAS ONCOLOGY CARE, PLLC
Entity Type:Organization
Organization Name:TEXAS ONCOLOGY CARE, PLLC
Other - Org Name:GREGORY A. ECHT, MD P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NIETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-379-2731
Mailing Address - Street 1:7415 LAS COLINAS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7569
Mailing Address - Country:US
Mailing Address - Phone:214-379-2700
Mailing Address - Fax:972-869-3875
Practice Address - Street 1:2010 BEN MERRITT DR UNIT A
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3853
Practice Address - Country:US
Practice Address - Phone:940-626-2300
Practice Address - Fax:940-626-2315
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEXAS ONCOLOGY CARE, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-13
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1934143-01Medicaid
TX1934143-04Medicaid