CANCER CARE NETWORK OF SOUTH TEXAS PA NPI 1225064603

NPI Information

NPI: 1225064603
Provider Name: CANCER CARE NETWORK OF SOUTH TEXAS PA

Doing Business As: CANCER CARE CENTERS OF SOUTH TEXAS PA

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
100 NE LOOP 410
SUITE # 600
SAN ANTONIO, TX
ZIP 78216
Phone: (210) 242-6541
Get Directions

CANCER CARE NETWORK OF SOUTH TEXAS PA is a hematology and oncology internal medicine in San Antonio, 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 1225064603. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cancer Care Centers Of South Texas Pa.

The provider's business location address is:

100 NE LOOP 410
SUITE # 600
SAN ANTONIO, TX
ZIP 78216-700
Phone: (210) 242-6541
Fax: (210) 212-5136

The provider's authorized official is David H. Gordon .
The authorized official title is President and has the following contact phone number (210) 545-6972.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 11/3/2011.

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
1	207RH0000X	Internal Medicine	Hematology	E9664	TEXAS	No
2	207RX0202X	Internal Medicine	Medical Oncology	E9664	TEXAS	No
3	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	E9664	TEXAS	No
4	2085R0001X	Radiology	Radiation Oncology	E9664	TEXAS	No
5	363AM0700X	Physician Assistant	Medical	E9664	TEXAS	No
6	363L00000X	Nurse Practitioner		E9664	TEXAS	No
7	207RH0003X	Internal Medicine	Hematology & Oncology	E9664	TEXAS	Yes

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
1	109514302	MEDICAID	TEXAS
2	00U40Q	OTHER	TEXAS	BLUECROSS/BLUESHIELD TX
3	CN2558	MEDICARE PIN	TEXAS
4	CI4583.	MEDICARE PIN	TEXAS
5	00U40Q	MEDICARE PIN	TEXAS

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »