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Organization
CANCER CARE NETWORK OF SOUTH TEXAS PA
Active
Organization
CANCER CARE NETWORK OF SOUTH TEXAS PA
Active
Other names
New Braunfels
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER M LYONS MD (PRESIDENT)
(210) 595-5300
Entity
Organization
Contact information
Practice address
1448 E. COMMON ST., NEW BRAUNFELS, TX 78130-3162
(830) 643-1762
(830) 609-7702
Mailing address
1448 E. COMMON ST., NEW BRAUNFELS, TX 78130-3162
(830) 643-1762
(830) 609-7702
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U40Q
BCBS OF TX
TX
05
—
109514302
—
TX
Enumeration date
10/07/2008
Last updated
05/26/2010
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