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Organization
CANCER CARE NETWORK OF SOUTH TEXAS PA
Active
Organization
CANCER CARE NETWORK OF SOUTH TEXAS PA
Active
Other names
HOAST Radiation
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER M LYONS MD (PRESIDENT)
(210) 595-5300
Entity
Organization
Contact information
Practice address
4411 MEDICAL DRIVE, STE. 100, SAN ANTONIO, TX 78229-3832
(210) 595-5300
(210) 595-5301
Mailing address
4411 MEDICAL DRIVE, STE. 100, SAN ANTONIO, TX 78229-3832
(210) 595-5300
(210) 595-5301
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U40Q
BCBS OF TX
TX
05
—
109514302
—
TX
Enumeration date
10/09/2008
Last updated
05/26/2010
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