Organization
ONCOLOGY PHARMACY SERVICES, INC.
Active
Other names
TEXAS ONCOLOGY PHARMACY - SAN ANTONIO MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TODD KEVIN BIVONA (REVENUE CYCLE MANAGER)
(972) 997-8103
Entity
Organization
Contact information
Practice address
5206 RESEARCH DR STE 100, SAN ANTONIO, TX 78240-5251
(210) 595-5691
(469) 467-2535
Mailing address
PO BOX 731145, DALLAS, TX 75373-1145
(972) 997-8103
(469) 467-2535
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
18668
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14336TX
—
TX
01
—
2158486
PK
—
Enumeration date
07/20/2006
Last updated
10/06/2022
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