Provider Demographics
NPI:1427159250
Name:GENERAL & ONCOLOGY SURGERY ASSOC LLP
Entity type:Organization
Organization Name:GENERAL & ONCOLOGY SURGERY ASSOC LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MEER
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:214-824-9963
Mailing Address - Street 1:3409 WORTH STREET
Mailing Address - Street 2:SUITE 420
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2029
Mailing Address - Country:US
Mailing Address - Phone:214-824-9963
Mailing Address - Fax:214-824-7167
Practice Address - Street 1:3409 WORTH STREET
Practice Address - Street 2:SUITE 420
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2029
Practice Address - Country:US
Practice Address - Phone:214-824-9963
Practice Address - Fax:214-824-7167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Not Answered2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0042HDOtherBCBS
TX0042HDOtherBCBS