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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 Specialty Code Provider Type

Radiation Oncology

2085R0203X
Indicates primary specialty

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

NPI # 1437251535
LBN Legal business name CANCER CARE NETWORK OF SOUTH TEXAS PA
Authorized official DAVID GORDON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2006
Last updated 05/27/2010 - About 16 years ago
Identifiers
TX Medicaid 109514302
TX Other 00U40Q BLUECROSS/BLUESHIELD TX
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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