Organization
SOUTH EAST TEXAS CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E SIMS (EXECUTIVE DIRECTOR)
(972) 490-2910
Entity
Organization
Contact information
Practice address
690 N 14TH ST, BEAUMONT, TX 77702-1449
(409) 899-7181
(409) 899-7179
Mailing address
PO BOX 911223, DALLAS, TX 75391-1223
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034MA
BLUE CROSS BLUD SHIELD
TX
05
—
079695501
—
TX
Enumeration date
05/30/2006
Last updated
04/26/2016
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