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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 Number | 1225064603 |
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| LBN Legal business name | CANCER CARE NETWORK OF SOUTH TEXAS PA | ||||||||||||
| Authorized official | DAVID GORDON - (PRESIDENT) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 06/25/2006 | ||||||||||||
| Last updated | 11/03/2011 - About 15 years ago | ||||||||||||
| Identifiers |
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CANCER CARE NETWORK OF SOUTH TEXAS PA
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CANCER CARE NETWORK OF SOUTH TEXAS PA