St. Jude International Cancer Associates, P.A.

LBN: St. Jude International Cancer Associates, P.A.
St. Jude International Cancer Associates, P.A. is an health care organization with primary practice located at 1900 N Oregon St Suite 500, El Paso TX 79902-3351. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. St. Jude International Cancer Associates, P.A. can be contacted via phone (915) 544-8844, or through Aboud, Ambrose via phone (915) 544-8844.

Contact Information

Primary practice address
1900 N Oregon St Suite 500 El Paso TX 79902-3351
Fax: (915) 544-7650
Website:
Authorized official contact:
Name: Aboud, Ambrose Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X F9119 Texas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X F9119 Texas

Profile Details

NPI number 1538156922
LBN Legal business name St. Jude International Cancer Associates, P.A.
DBA Doing business as
Authorized official Aboud, Ambrose Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2005
Last updated Feb 3rd, 2015 - about 10 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 1538156922 NPPES
Texas Other 45D0509362 CLIA ID NUMBER
Texas MEDICAID 081412102 CLIA ID NUMBER

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