MONCRIEF CANCER CENTER (NPI# 1831192863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831192863 |
| Entity Type | Organization |
| Organization Name | MONCRIEF CANCER CENTER |
| Other Organization Name | UT SOUTHWESTERN MONCRIEF CANCER CENTER |
| Practice Address |
1450 8th Ave Fort Worth TX 76104-4110 |
| Practice Telephone | 8179237393 |
| Practice Fax Number | 8179274532 |
| Mailing Telephone | 8179237393 |
| Mailing Fax Number | 8179274532 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM CRAIG (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8179276323 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
L00384 | TX | Ambulatory Health Care Facilities |
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
R01948 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| UT Southwestern Moncrief Cancer Center | Other Name - Individual/Organization |
| Street Address |
1450 8TH AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225401029 | Antonia Reese Pryor | Nurse Practitioner | 1450 8th Ave, Fort Worth, TX 76104-4110 | 2015-11-03 |
| 1871856914 | Mani Akhtari | Radiology | 1450 8th Ave, Fort Worth, TX 76104-4110 | 2012-06-22 |
| 1295932242 | Clinton Sangkyu Park | Radiology | 1450 8th Ave, Fort Worth, TX 76104-4110 | 2007-07-02 |
| 1033151287 | Rafael Comacho Chan | Radiology | 1450 8th Ave, Fort Worth, TX 76104-4110 | 2006-06-12 |
| 1528008646 | Gary S Young | Radiology | 1450 8th Ave, Fort Worth, TX 76104-4110 | 2006-06-07 |
| 1073550455 | Kathleen Louise Shide | Radiology | 1450 8th Ave, Fort Worth, TX 76104-4110 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639538655 | Golden Triangle Cancer Center LLC | Clinic/Center | 2875 Jimmy Johnson Blvd, Suite 100, Port Arthur, TX 77640-2002 | 2016-02-18 |
| 1811315286 | Dominic Himchan Moon | Clinic/Center | 2280 Inwood Road, Dallas, TX 75390-7512 | 2014-04-02 |
| 1023443223 | Americare Cancer Centers, Gp; LLC | Clinic/Center | 2507 Stonebury Ln, Sugar Land, TX 77479-5489 | 2013-09-06 |
| 1760739098 | North Texas Srs LLC | Clinic/Center | 10425 N Central Expy, Dallas, TX 75231-2208 | 2012-08-06 |
| 1922388503 | Altus Radiation Oncology Beaumont, Lp | Clinic/Center | 310 N 11th St, Beaumont, TX 77702-1802 | 2011-08-26 |
| 1508178229 | Usmd Cancer Treatment Centers, LLC | Clinic/Center | 801 West Interstate 20, Suite 1, Arlington, TX 76017-3252 | 2010-07-10 |
| 1285955708 | Altus Radiation Oncology (baytown) Lp | Clinic/Center | 1455 Manor Drive, Suite 150, Baytown, TX 77521 | 2010-06-18 |
| 1861711392 | Noushin Izadifar Hart, M.d. P.a. | Clinic/Center | 10 W Whistlers Bend Cir, Conroe, TX 77384-5061 | 2010-05-24 |
| 1689853038 | University Cancer Center of Huntsville Brenham Inc | Clinic/Center | 521 Interstate 45 S, Suite 10, Huntsville, TX 77340-5650 | 2007-11-01 |
| 1801910492 | Christus Santa Rosa Cancer Center | Clinic/Center | 310 N San Saba, San Antonio, TX 78207-3199 | 2007-03-19 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on MONCRIEF CANCER CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.