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CANCER CARE NETWORK OF SOUTH TEXAS PA NPI 1437251535


NPI Information

NPI: 1437251535
Provider Name: CANCER CARE NETWORK OF SOUTH TEXAS PA

Other Name: RADIATION-SAN ANTONIO TUMOR&BLOOD

Classification: Radiology - 2085R0203X
Entity Type: Organization

Specialization: Therapeutic Radiology

Address:
1200 BROOKLYN AVE
SUITE#115
SAN ANTONIO, TX
ZIP 78212
Phone: (210) 224-6531
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CANCER CARE NETWORK OF SOUTH TEXAS PA is a therapeutic radiology radiology in San Antonio, TX. CANCER CARE NETWORK OF SOUTH TEXAS PA NPI is 1437251535. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Radiation-san Antonio Tumor&blood.

The provider's business location address is:

1200 BROOKLYN AVE
SUITE#115
SAN ANTONIO, TX
ZIP 78212-803
Phone: (210) 224-6531
Fax: (210) 226-0402

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 9/1/2006 and was last updated on 5/27/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0203XRadiologyTherapeutic RadiologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERTEXASTAX ID
200U40QOTHERTEXASBLUECROSS/BLUESHIELD TX
3X05189MEDICARE UPINTEXAS
4109514302MEDICAIDTEXAS
500U40QMEDICARE ID-TYPE UNSPECIFIEDTEXAS

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: 11/14/2023

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