Provider Demographics
NPI:1932431616
Name:COUNTY HEMATOLOGY-ONCOLOGY CLINICS
Entity Type:Organization
Organization Name:COUNTY HEMATOLOGY-ONCOLOGY CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BAOCHONG
Authorized Official - Middle Name:B
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-708-8819
Mailing Address - Street 1:PO BOX 23642
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76702-3642
Mailing Address - Country:US
Mailing Address - Phone:888-708-8819
Mailing Address - Fax:
Practice Address - Street 1:711 MCCLINTIC DRIVE
Practice Address - Street 2:HEMO-ONCO SPECIALTY CENTER
Practice Address - City:GROESBECK
Practice Address - State:TX
Practice Address - Zip Code:76642
Practice Address - Country:US
Practice Address - Phone:888-708-8819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty