Office - Medical Drive

LBN: Cancer Care Network Of South Texas Pa
Office - Medical Drive is an health care organization with primary practice located at 4411 Medical Drive Ste. 100, San Antonio TX 78229-3832. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty. Cancer Care Network Of South Texas Pa can be contacted via phone (210) 595-5300, or through Lyons, Roger M via phone (210) 595-5300.

Contact Information

Primary practice address
4411 Medical Drive Ste. 100 San Antonio TX 78229-3832
Phone: (210) 595-5300
Fax: (210) 595-5301
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 207RH0000X
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X

Profile Details

NPI number 1982855813
LBN Legal business name Cancer Care Network Of South Texas Pa
DBA Doing business as Office - Medical Drive
Authorized official Lyons, Roger M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2008
Last updated Jul 13th, 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 1982855813 NPPES
Texas Other 00U40Q BCBS OF TX
Texas MEDICAID 109514302 BCBS OF TX

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