NORTH TEXAS SRS LLC


Address: 10425 N Central Expy, Dallas, TX 75231-2208
Phone: 2149547734

NORTH TEXAS SRS LLC (NPI# 1760739098) 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) 1760739098
Entity Type Organization
Organization Name NORTH TEXAS SRS LLC
Other Organization Name PREMIER CANCER CENTERS DALLAS
Practice Address 10425 N Central Expy
Dallas
TX 75231-2208
Mailing Address Po Box 678099
Dallas
TX 75267-8099
Practice Telephone 2149547734
Practice Fax Number 4692504299
Mailing Telephone 2149547734
Mailing Fax Number 4692504299
Enumeration Date 2012-08-06
Last Update Date 2015-07-21
Authorized Official Name DANA VIETER (PRESIDENT AND CEO)
Authorized Official Telephone 2149547734
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QX0203X Clinic/Center
Specialization: Oncology, Radiation
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Premier Cancer Centers Dallas Doing Business As Name - Organization

Office Location

Street Address 10425 N CENTRAL EXPY
City DALLAS
State TX
Zip Code 75231-2208

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1376024893 Brittany Leigh Stedman Physical Therapist 8130 Meadow Rd, Dallas, TX 75231 2018-08-23
1700367224 Tia Cornelius Occupational Therapy Assistant 8130 Meadow Rd., Dallas, TX 75231 2018-08-23
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Taxonomy Information

Taxonomy Code 261QX0203X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oncology, Radiation

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1497720353 The University of Texas Southwestern Medical Center At Dallas Clinic/Center 5801 Forest Park Rd, Dallas, TX 75390-9183 2006-02-22
1639253388 Northpoint Radiation Dallas Gp, LLC Clinic/Center 12606 Greenville Ave, Ste. 160, Dallas, TX 75243-1921 2006-10-25
1982709713 Landmark Radiation Dallas Lp Clinic/Center 12606 Greenville Ave, Ste. 160, Dallas, TX 75243-1921 2006-09-14
1780639328 University of Texas Southwestern Medical Center At Dallas Clinic/Center 5323 Harry Hines Blvd, Dallas, TX 75390-7208 2006-05-23

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1861711392 Noushin Izadifar Hart, M.d. P.a. Clinic/Center 10 W Whistlers Bend Cir, Conroe, TX 77384-5061 2010-05-24
1689853038 University Cancer Center of Huntsville Brenham Inc Clinic/Center 521 Interstate 45 S, Suite 10, Huntsville, TX 77340-5650 2007-11-01
1801910492 Christus Santa Rosa Cancer Center Clinic/Center 310 N San Saba, San Antonio, TX 78207-3199 2007-03-19
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Competitor

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City DALLAS
Zip Code 75231

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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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