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Cancer Care Resource, PLLC

in Corinth, TX. Organization (NPI-2).

NPI number1467565663
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1467565663
Entity type
Organization (NPI-2)
Legal business name
Cancer Care Resource, PLLC
Organization subpart
No
Enumeration date
Aug 15, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0001X ––Yes

Practice location

4851 S Interstate 35 E
Suite 101
Corinth, TX 76210-2348

Phone 940-270-5000 · Fax 940-269-5001

Mailing address

4851 S Interstate 35 E
Suite 101
Corinth, TX 76210-2348

Phone 940-270-5000 · Fax 940-269-5001

Authorized official

Roger R Good
Manager
9402705000

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