Individual provider · Type 1 NPI

Kathleen Louise Shide, MD

Radiation Oncology Physician · Fort Worth, TX

NPI number 1073550455 Active

Practice location

500 S Henderson St Ste 200
Fort Worth, TX 76104-2154

Call (174) 131-5008 Map

Fax (817) 413-1499

Mailing address

PO Box 911230
Dallas, TX 75391-1230

Specialties and licenses

TaxonomyCodeLicense
Radiation Oncology Physician Primary 2085R0001XK3007 (TX)

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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About NPI 1073550455

Kathleen Louise Shide, MD's National Provider Identifier is 1073550455, issued on Jun 2, 2006. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 9, 2021.