Organization
SOUTHWEST CANCER CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CESAR E VIVANCO MD (OWNER)
(915) 351-7003
Entity
Organization
Contact information
Practice address
1501 N MESA, 1A, EL PASO, TX 79902
(915) 351-7003
(915) 351-7738
Mailing address
1501 N MESA, 1A, EL PASO, TX 79902
(915) 351-7003
(915) 351-7738
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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