Organization · Type 2 NPI

Cancer Care Network of So TX - Boerne

Hematology & Oncology Physician · Boerne, TX

NPI number 1710021159 Active

Practice location

124 E Bandera Rd Ste 301
Boerne, TX 78006-2852

Fax (210) 614-8740

Mailing address

4411 Medical Dr Ste 100
San Antonio, TX 78229-3832

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed

Hematology & Oncology Physician: 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.

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About NPI 1710021159

Cancer Care Network of So TX - Boerne's National Provider Identifier is 1710021159, issued on Feb 19, 2007. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Boerne, TX. The record was last updated on Aug 22, 2020.