Provider Demographics
NPI:1578437919
Name:EAST TEXAS CANCER ALLIANCE OF HOPE
Entity type:Organization
Organization Name:EAST TEXAS CANCER ALLIANCE OF HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:DANNIELLE
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-240-1122
Mailing Address - Street 1:2306 W FRANK AVE STE E
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-3599
Mailing Address - Country:US
Mailing Address - Phone:936-899-7307
Mailing Address - Fax:
Practice Address - Street 1:2306 W FRANK AVE STE E
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-3599
Practice Address - Country:US
Practice Address - Phone:936-899-7307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty