Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 11850 | NV |
N | 207RH0003X | Hematology & Oncology | N0704 | TX |
Y | 207RX0202X | Medical Oncology | N0704 | TX |
NPI | 1003870759 |
---|---|
Provider Name | Dr. Vivian Cline |
First Address | Dallas, TX 75391-1230 |
Second Address | Round Rock, TX 78665-8002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2006 |
Last Update Date | 14/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
197265501 | (05) | TX |
197265502 | (05) | TX |
2347893 | (05) | OH |
8BP365 | BCBS OF TX (01) | TX |
P00361534 | RAILROAD MEDICARE (01) | NV |
P00725233 | RAILROAD MEDICARE (01) | TX |