# CHRISTUS SANTA ROSA CANCER CENTER

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

## Provider details

- **NPI number:** 1801910492
- **Authorized official:** DEBORAH IVY (DIRECTOR OF PATIENT FINANCIAL SERV)
- **Authorized official phone:** (210) 450-5840

## Contact information

- **Practice address:** 310 N SAN SABA, SAN ANTONIO, TX 78207-3199
- **Practice address phone:** (210) 450-1000
- **Practice address fax:** (210) 692-9822
- **Mailing address:** 310 N SAN SABA, SAN ANTONIO, TX 78207-3199
- **Mailing address phone:** (210) 450-1000
- **Mailing address fax:** (210) 692-9822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | L00556 | TX | — |
| 261QX0203X | Radiation Oncology Clinic/Center | R19494 | TX | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 08/22/2020