Provider Demographics
NPI:1982709713
Name:LANDMARK RADIATION DALLAS LP
Entity Type:Organization
Organization Name:LANDMARK RADIATION DALLAS LP
Other - Org Name:NORTHPOINT CANCER CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:D
Authorized Official - Last Name:TRYGGESTAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-704-7798
Mailing Address - Street 1:5001 SPRING VALLEY RD
Mailing Address - Street 2:STE. 400E
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-3946
Mailing Address - Country:US
Mailing Address - Phone:972-383-1215
Mailing Address - Fax:972-383-1217
Practice Address - Street 1:12606 GREENVILLE AVE
Practice Address - Street 2:STE. 160
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1921
Practice Address - Country:US
Practice Address - Phone:972-383-1215
Practice Address - Fax:972-383-1217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5329261QX0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation