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Organization
SOUTH TEXAS COMPREHENSIVE CANCER CENTERS PLLC
Active
Organization
SOUTH TEXAS COMPREHENSIVE CANCER CENTERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD AYMAN GHRAOWI MD (MEDICAL DIRECTOR)
(361) 885-0390
Entity
Organization
Contact information
Practice address
1205 S 19TH ST, CORPUS CHRISTI, TX 78405-1527
(361) 885-0390
(361) 904-0178
Mailing address
PO BOX 5407, CORPUS CHRISTI, TX 78465-5407
(361) 885-0390
(361) 904-0178
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
J6958
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053303255
NPI
TX
01
—
1477545655
NPI
TX
01
—
1942201439
NPI
TX
Enumeration date
05/26/2006
Last updated
10/30/2012
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