SOUTH EAST TEXAS CANCER CENTER NPI 1366499683

NPI Information

  • NPI: 1366499683
  • Provider Name: SOUTH EAST TEXAS CANCER CENTER
  • Classification: Clinic/Center - 261QX0203X
  • Specialization: Oncology, Radiation
  • Entity Type: Organization
  • Address: 690 N 14TH ST
    BEAUMONT, TX
    ZIP 77702
  • Phone: (409) 899-7181

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NPI Details

SOUTH EAST TEXAS CANCER CENTER is an oncology and radiation clinic center in Beaumont, TX. SOUTH EAST TEXAS CANCER CENTER NPI is 1366499683. The provider is registered as an organization entity type.

The provider's business location address is:

690 N 14TH ST
BEAUMONT, TX
ZIP 77702-449
Phone: (409) 899-7181
Fax: (409) 899-7179

The provider's authorized official is John E Sims .
The authorized official title is Executive Director and has the following contact phone number (972) 490-2910.

The enumeration date for this NPI number is 5/30/2006 and was last updated on 4/26/2016.

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
1261QX0203XClinic/CenterOncology, RadiationYes

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
1079695501MEDICAIDTEXAS
20034MAOTHERTEXASBLUE CROSS BLUD SHIELD
30004CCMEDICARE PIN
4P00088189MEDICARE PIN

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: 3/30/2025

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