Boerne Clinic

LBN: Cancer Care Network Of South Texas Pa
Boerne Clinic is an health care organization with primary practice located at 124 E. Bandera Rd. Ste. 301, Boerne TX 78006-2852. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Cancer Care Network Of South Texas Pa can be contacted via phone (830) 249-1429, or through Lyons, Roger M via phone (210) 595-5300.

Contact Information

Primary practice address
124 E. Bandera Rd. Ste. 301 Boerne TX 78006-2852
Phone: (830) 249-1429
Fax: (830) 249-1469
Website:
Map and Directions
Authorized official contact:
Name: Lyons, Roger M Doctor of Medicine (MD)
Phone: (210) 595-5300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1053562181
LBN Legal business name Cancer Care Network Of South Texas Pa
DBA Doing business as Boerne Clinic
Authorized official Lyons, Roger M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2008
Last updated May 26th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053562181 NPPES
Texas MEDICAID 109514302
Texas Other 00U40Q

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