# SOUTH EAST TEXAS CANCER CENTER

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

## Provider details

- **NPI number:** 1366499683
- **Authorized official:** JOHN E SIMS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (972) 490-2910

## Contact information

- **Practice address:** 690 N 14TH ST, BEAUMONT, TX 77702-1449
- **Practice address phone:** (409) 899-7181
- **Practice address fax:** (409) 899-7179
- **Mailing address:** PO BOX 911223, DALLAS, TX 75391-1223
- **Mailing address phone:** (972) 997-8000
- **Mailing address fax:** (972) 437-9605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/30/2006
- **Last updated:** 04/26/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0034MA | BLUE CROSS BLUD SHIELD | TX |
| 05 | — | 079695501 | — | TX |