Basic Information
| Provider Information | |||||||||
| NPI: | 1477806826 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HEMATOLOGY & MEDICAL ONCOLOGY CARE, PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1205 S 19TH ST | ||||||||
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| City: | CORPUS CHRISTI | ||||||||
| State: | TX | ||||||||
| PostalCode: | 784051527 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3618850390 | ||||||||
| FaxNumber: | 3619040178 | ||||||||
| Practice Location | |||||||||
| Address1: | 1205 S 19TH ST | ||||||||
| Address2: | |||||||||
| City: | CORPUS CHRISTI | ||||||||
| State: | TX | ||||||||
| PostalCode: | 784051527 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3618850390 | ||||||||
| FaxNumber: | 3619040178 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/23/2012 | ||||||||
| LastUpdateDate: | 06/25/2013 | ||||||||
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| AuthorizedOfficialLastName: | APONTE | ||||||||
| AuthorizedOfficialFirstName: | EMMALIND | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER/PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 3618850390 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | P1617 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No ID Information.