Basic Information
| Provider Information | |||||||||
| NPI: | 1376075499 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HORIZON HEMATOLOGY ONCOLOGY HEALTH ORGANIZATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6404 INTERNATIONAL PKWY | ||||||||
| Address2: | SUITE 1010 | ||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750938225 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9722671988 | ||||||||
| FaxNumber: | 9722673434 | ||||||||
| Practice Location | |||||||||
| Address1: | 6404 INTERNATIONAL PKWY | ||||||||
| Address2: | SUITE 1010 | ||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750938225 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9722671988 | ||||||||
| FaxNumber: | 9722673434 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/29/2017 | ||||||||
| LastUpdateDate: | 03/29/2017 | ||||||||
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| AuthorizedOfficialLastName: | DELVADIYA | ||||||||
| AuthorizedOfficialFirstName: | MUKESH KUMAR | ||||||||
| AuthorizedOfficialMiddleName: | DEVSHIBHAI | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2146684809 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical | 163WX0200X | N | 193200000X MULTI-SPECIALTY GROUP | Nursing Service Providers | Registered Nurse | Oncology | 1835X0200X | N | 193200000X MULTI-SPECIALTY GROUP | Pharmacy Service Providers | Pharmacist | Oncology | 207R00000X | P2430 | TX | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | 207RH0000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology | 207RH0002X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Hospice and Palliative Medicine | 207RX0202X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology | 2085R0001X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology | 347C00000X | N | Transportation Services | Private Vehicle | 363AM0700X | N | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical | 364SM0705X | N | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Medical-Surgical | 364SX0200X | N | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Oncology | 405300000X | N | 193200000X MULTI-SPECIALTY GROUP | 207RH0003X | P2430 | TX | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No ID Information.