Northeast Methodist-S.A.Tumor&Blood

LBN: Cancer Care Network Of South Texas Pa
Northeast Methodist-S.A.Tumor&Blood is an health care organization with primary practice located at 12709 Toepperwein Rd Suite 306, Live Oak TX 78233-3258. 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 (210) 381-6533, or through Gordon, David H via phone (210) 381-6533.

Contact Information

Primary practice address
12709 Toepperwein Rd Suite 306 Live Oak TX 78233-3258
Fax:
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 1629237912
LBN Legal business name Cancer Care Network Of South Texas Pa
DBA Doing business as Northeast Methodist-S.A.Tumor&Blood
Authorized official Gordon, David H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 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 1629237912 NPPES
Texas MEDICAID 109514302
Texas Other 00U40Q

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