Provider Demographics
NPI:1346794385
Name:TEXAS ONCOLOGY PA
Entity type:Organization
Organization Name:TEXAS ONCOLOGY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVANCED PRACTICE PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:AGCNS-BC
Authorized Official - Phone:512-260-6050
Mailing Address - Street 1:1401 MEDICAL PKWY STE 412
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-5015
Mailing Address - Country:US
Mailing Address - Phone:512-260-6050
Mailing Address - Fax:512-260-6080
Practice Address - Street 1:1401 MEDICAL PKWY STE 412
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-5015
Practice Address - Country:US
Practice Address - Phone:512-260-6050
Practice Address - Fax:512-260-6080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131625364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGroup - Multi-Specialty