METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES


Address: 2800 E State Highway 114, Arlington Cancer Center At Trophy Club, Trophy Club, TX 76262-5304
Phone: 8172614906

METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES (NPI# 1457353815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457353815
Entity Type Organization
Organization Name METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES
Other Organization Name ARLINGTON CANCER CENTER AT TROPHY CLUB
Practice Address 2800 E State Highway 114
Arlington Cancer Center At Trophy Club
Trophy Club
TX 76262-5304
Mailing Address Po Box 974315
Dallas
TX 75397-4315
Practice Telephone 8172614906
Practice Fax Number 8175434675
Mailing Telephone 8172614906
Mailing Fax Number 8175434675
Enumeration Date 2005-08-15
Last Update Date 2009-06-02
Authorized Official Name ALFRED DISTEFANO (MANAGING PARTNER)
Authorized Official Telephone 8172614906
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0001X Radiology
Specialization: Radiation Oncology
========= TX Allopathic & Osteopathic Physicians
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Arlington Cancer Center at Trophy Club Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033397773 Metroplex Hematology Oncology Associates Internal Medicine 3030 Matlock Rd Ste 206, Arlington Cancer Center The Lakes At Matlock, Arlington, TX 76015-2936 2008-02-05
1578531422 Metroplex Hematology Oncology Associates Clinical Medical Laboratory 2800 E State Hwy 114, Suite 200 Arlington Cancer Center At Trophy Club Lab, Trophy Club, TX 76262-5306 2006-03-08
1164423414 Metroplex Hematology Oncology Associates Durable Medical Equipment & Medical Supplies 906 W Randol Mill Rd, Arlington, TX 76012-2510 2005-08-09
1669464848 Metroplex Hematology Oncology Associates Radiology 906 W Randol Mill Rd, Arlington, TX 76012-2510 2005-08-16
1639171093 Metroplex Hematology Oncology Associates Clinical Medical Laboratory 906 W Randol Mill Rd, Arlington Cancer Center, Arlington, TX 76012-2510 2005-08-15
1396747747 Metroplex Hematology Oncology Associates Clinic/Center 906 W Randol Mill Rd, Arlington Cancer Center, Arlington, TX 76012-2510 2005-08-15

Office Location

Street Address 2800 E STATE HIGHWAY 114
ARLINGTON CANCER CENTER AT TROPHY CLUB
City TROPHY CLUB
State TX
Zip Code 76262-5304

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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

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Competitor

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City TROPHY CLUB
Zip Code 76262

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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