# CHILDREN'S HEMATOLOGY & ONCOLOGY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134396450
- **Authorized official:** MR. CRAIG D GENTRY (NETWORK ADMIN)
- **Authorized official phone:** (210) 616-0800

## Contact information

- **Practice address:** 4499 MEDICAL DR, SUITE 260, SAN ANTONIO, TX 78229-3735
- **Practice address phone:** (210) 616-0800
- **Practice address fax:** (210) 616-0012
- **Mailing address:** 4499 MEDICAL DR, SUITE 260, SAN ANTONIO, TX 78229-3735
- **Mailing address phone:** (210) 616-0800
- **Mailing address fax:** (210) 616-0012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0207X | Pediatric Hematology & Oncology Physician | G6956 | TX | Yes |

## Other

- **Enumeration date:** 05/15/2008
- **Last updated:** 05/15/2008