Provider Demographics
NPI:1952434995
Name:AMARILLO CANCER CENTER, PA.
Entity type:Organization
Organization Name:AMARILLO CANCER CENTER, PA.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER,PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ZORSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-353-8555
Mailing Address - Street 1:1301 S COULTER ST
Mailing Address - Street 2:#205
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1763
Mailing Address - Country:US
Mailing Address - Phone:806-353-8555
Mailing Address - Fax:806-353-8556
Practice Address - Street 1:1301 S COULTER ST
Practice Address - Street 2:#205
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1763
Practice Address - Country:US
Practice Address - Phone:806-353-8555
Practice Address - Fax:806-353-8556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9459174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B7260OtherBCBS
TX1245283076OtherPROVIDER NPI
TX=========OtherTAX ID NUMBER
TX1245283076OtherPROVIDER NPI