Organization
CCCST - SEGUIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER M. LYONS MD (PRESIDENT)
(210) 595-5300
Entity
Organization
Contact information
Practice address
1025 N AUSTIN ST, SEGUIN, TX 78155-4517
(830) 379-8688
(210) 595-5301
Mailing address
4411 MEDICAL DR STE 100, SAN ANTONIO, TX 78229-3832
(210) 595-5300
(210) 614-8740
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
E3811
TX
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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