Organization
CANCER CARE NETWORK OF SOUTH TEXAS PA
Active
Other names
Kerrville-S.A.Tumor&Blood Clinic.PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H GORDON M.D. (PRESIDENT)
(210) 545-6972
Entity
Organization
Contact information
Practice address
694 HILL COUNTRY DR, KERRVILLE, TX 78028-6078
(830) 792-3434
(830) 257-5875
Mailing address
694 HILL COUNTRY DR, KERRVILLE, TX 78028-6078
(830) 792-3434
(830) 257-5875
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U40Q
BLUECROSS/BLUESHIELD TX
TX
05
—
109514302
—
TX
Enumeration date
08/26/2006
Last updated
05/26/2010
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