Temple Cancer Clinic, PA
Internal Medicine, Hematology & Oncology in Killeen, TX. Organization (NPI-2).
NPI number1629001045
StatusActive
Last updated in NPPESOct 15, 2007
Details
- NPI
- 1629001045
- Entity type
- Organization (NPI-2)
- Legal business name
- Temple Cancer Clinic, PA
- Organization subpart
- No
- Enumeration date
- Jul 9, 2006
- Last updated
- Oct 15, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | G4724 | TX | Yes |
Practice location
2207 S Clear Creek RdSuite 302
Killeen, TX 76549-4132
Phone 254-526-5353 · Fax 254-554-5298
Mailing address
2207 S Clear Creek RdSuite 302
Killeen, TX 76549-4132
Phone 254-526-5353 · Fax 254-554-5298
Authorized official
Mani Subramanian
Dr Owner
2545265353
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