Organization · Type 2 NPI

Cancer Care Network of South Texas PA

Hematology & Oncology Physician · San Antonio, TX

NPI number 1942486964 Active

Practice location

2130 N.e. Loop 410, Suite #100
San Antonio, TX 78217-4660

Call (210) 656-7177 Map

Fax (210) 656-3687

Mailing address

100 NE Loop 410, Suite #600
San Antonio, TX 78216-4700

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None 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.

Other hematology & oncology physician providers in San Antonio

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NPI record

NPI: 1942486964
Entity type: Organization (Type 2)
Issued: Jan 22, 2008
Last updated: Oct 27, 2011
Status: Active
Subpart: Yes of Cancer Care Network of South Texas, P.a.

Other names

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Northeast Cancer Center/sa Tumor & Blood · other name

Authorized official

Dr. David H Gordon, MD
President
(210) 656-7177

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1942486964

Cancer Care Network of South Texas PA's National Provider Identifier is 1942486964, issued on Jan 22, 2008. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in San Antonio, TX. The record was last updated on Oct 27, 2011.