Kerrville-S.A.Tumor&Blood Clinic.Pa

LBN: Cancer Care Network Of South Texas Pa
Kerrville-S.A.Tumor&Blood Clinic.Pa is an health care organization with primary practice located at 694 Hill Country Dr , Kerrville TX 78028-6078. 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) 792-3434, or through Gordon, David H via phone (210) 545-6972.

Contact Information

Primary practice address
694 Hill Country Dr Kerrville TX 78028-6078
Fax: (830) 257-5875
Website:
Authorized official contact:
Name: Gordon, David H Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1518075076
LBN Legal business name Cancer Care Network Of South Texas Pa
DBA Doing business as Kerrville-S.A.Tumor&Blood Clinic.Pa
Authorized official Gordon, David H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2006
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 1518075076 NPPES
Texas MEDICAID 109514302
Texas Other 00U40Q

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