Basic Information
Provider Information
NPI: 1134472442
EntityType: 2
ReplacementNPI:  
OrganizationName: THE DON AND SYBIL HARRINGTON CANCER CENTER, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: HARRINGTON CANCER CENTER
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 51628
Address2:  
City: AMARILLO
State: TX
PostalCode: 791591628
CountryCode: US
TelephoneNumber: 8062121995
FaxNumber: 8063545892
Practice Location
Address1: 1500 WALLACE BLVD
Address2:  
City: AMARILLO
State: TX
PostalCode: 791061794
CountryCode: US
TelephoneNumber: 8063594673
FaxNumber: 8063545892
Other Information
ProviderEnumerationDate: 10/24/2012
LastUpdateDate: 10/24/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: HANCOCK
AuthorizedOfficialFirstName: PAUL
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 8062121950
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0001X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology

No ID Information.


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