Provider Demographics
NPI:1548262900
Name:ADAMS, JOHN WILLIAM (DO)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:WILLIAM
Last Name:ADAMS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911242 ARLINGTON CANCER CENTER
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:817-664-9600
Mailing Address - Fax:817-664-9605
Practice Address - Street 1:906 W RANDOL MILL RD
Practice Address - Street 2:ARLINGTON CANCER CENTER
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-2510
Practice Address - Country:US
Practice Address - Phone:817-261-0929
Practice Address - Fax:817-543-4658
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2024-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2145207RH0003X, 207RX0202X
FLOS3674207RH0003X
HIDOS-561207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX102212106Medicaid
TX102212102Medicaid
TX102212104Medicaid
TX102212105Medicaid
TX8L23396Medicare PIN
TX882012Medicare ID - Type UnspecifiedCMS
TX8B7836Medicare ID - Type UnspecifiedCMS
TX102212102Medicaid
D86901Medicare UPIN
TX8L23397Medicare PIN