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Contact Information

CANCER CARE NETWORK OF SOUTH TEXAS PA
100 NE LOOP 410
SUITE # 600
SAN ANTONIO, TX78216-4700
 Phone: 210-242-6541
 Fax: 210-212-5136
 Website:
 

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
Indicates primary specialty

NPI Profile & details for CANCER CARE NETWORK OF SOUTH TEXAS PA · (Female)

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
  • TX License # E9664
  • TX Medicaid 109514302
  • TX Other 00U40Q BLUECROSS/BLUESHIELD TX
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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