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CANCER CARE NETWORK OF SOUTH TEXAS PA NPI 1851542971


NPI Information

NPI: 1851542971
Provider Name: CANCER CARE NETWORK OF SOUTH TEXAS PA

Other Name: NEW BRAUNFELS

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
1448 E. COMMON ST.
NEW BRAUNFELS, TX
ZIP 78130
Phone: (830) 643-1762
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CANCER CARE NETWORK OF SOUTH TEXAS PA is a hematology and oncology internal medicine in New Braunfels, TX. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. CANCER CARE NETWORK OF SOUTH TEXAS PA NPI is 1851542971. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is New Braunfels.

The provider's business location address is:

1448 E. COMMON ST.
NEW BRAUNFELS, TX
ZIP 78130-162
Phone: (830) 643-1762
Fax: (830) 609-7702

The provider's authorized official is Roger M Lyons .
The authorized official title is President and has the following contact phone number (210) 595-5300.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 5/26/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
22085R0001XRadiologyRadiation OncologyNo
3207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1X05189MEDICARE UPINTEXAS
200U40QMEDICARE PINTEXAS
3109514302MEDICAIDTEXAS
400U40QOTHERTEXASBCBS OF TX
5CI4583MEDICARE PINTEXAS
6CN2558MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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