Organization
RADIATION ONCOLOGY ASSOCIATES OF SOUTH TEXAS, L.L.P.
Active
Other names
ROAST
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE LING CHEN R.N., PH.D. (OFFICE ADMINISTRATOR)
(361) 576-9812
Entity
Organization
Contact information
Practice address
2807 N BEN WILSON ST, SUITE 201, VICTORIA, TX 77901-5730
(361) 576-9812
(361) 574-1580
Mailing address
1502 E RED RIVER ST, #347, VICTORIA, TX 77901-5523
(361) 576-9812
(361) 574-1580
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F16E
BLUE CROSS BLUE SHIELD
TX
05
—
082420301
—
TX
01
—
1093894198
DAVID L. JANSSEN, M.D., NPI
—
01
—
1538248695
KARL K. CHEN, M.D., NPI
—
01
—
A13659
DAVID L. JANSSEN,MD, UPIN
TX
01
—
CS4948
RAIL ROAD MEDICARE
TX
01
—
E21013
KARL K. CHEN, M.D., UPIN
TX
Enumeration date
11/17/2006
Last updated
02/11/2010
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