Northeast Cancer Center/Sa Tumor & Blood

LBN: Cancer Care Network Of South Texas Pa
Northeast Cancer Center/Sa Tumor & Blood is an health care organization with primary practice located at 2130 N.E. Loop 410 Suite #100, San Antonio TX 78217-4660. 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) 656-7177, or through Gordon, David H via phone (210) 656-7177.

Contact Information

Primary practice address
2130 N.E. Loop 410 Suite #100 San Antonio TX 78217-4660
Phone: (210) 656-7177
Fax: (210) 656-3687
Website:
Map and Directions
Authorized official contact:
Name: Gordon, David H Doctor of Medicine (MD)
Phone: (210) 656-7177

Health care specialties

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

Profile Details

NPI number 1942486964
LBN Legal business name Cancer Care Network Of South Texas Pa
DBA Doing business as Northeast Cancer Center/Sa Tumor & Blood
Authorized official Gordon, David H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 22nd, 2008
Last updated Oct 27th, 2011 - about 13 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 1942486964 NPPES
Texas Other 00U40Q BLUECROSS/BLUESHIELD TX
Texas MEDICAID 109514302 BLUECROSS/BLUESHIELD TX

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