National Provider Identifier Database

CANCER CARE NETWORK OF SOUTH TEXAS PA
Radiation Oncology

January 1, 2025 - Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.


Contact Information

CANCER CARE NETWORK OF SOUTH TEXAS PA
1200 BROOKLYN AVE
SUITE#115
SAN ANTONIO, TX78212-4803
Phone: 210-224-6531
Fax: 210-226-0402
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0203X

* Indicates primary specialty

NPI Profile & details for CANCER CARE NETWORK OF SOUTH TEXAS PA

NPI Number 1437251535
Legal business name
LBN
CANCER CARE NETWORK OF SOUTH TEXAS PA
Authorized official DAVID GORDON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/01/2006
Last updated 05/27/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 109514302
  • TX Other: 00U40Q BLUECROSS/BLUESHIELD TX

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.

Reviews for CANCER CARE NETWORK OF SOUTH TEXAS PA

There are currently no reviews for CANCER CARE NETWORK OF SOUTH TEXAS PA


NPIdb - Home
v2.201