NPI Profile for CANCER CARE NETWORK OF SOUTH TEXAS PA in SAN ANTONIO, TX.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine | |
Gynecologic Oncology |
207VX0201X | 16 | Physician/Obstetrics & Gynecology | |
Hematology |
207RH0000X | 11 | Physician/Internal Medicine | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Medical Oncology |
207RX0202X | 11 | Physician/Internal Medicine | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Radiation Oncology |
2085R0001X | 92 | Physician/Radiation Oncology |
| NPI # | 1225064603 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/25/2006 | |
| Last updated | 11/03/2011 - About 15 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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CANCER CARE NETWORK OF SOUTH TEXAS PA
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