Organization
SOUTH TEXAS COMPREHENSIVE CANCER CENTERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD AYMAN GHRAOWI MD (MEDICAL DIRECTOR)
(361) 885-0390
Entity
Organization
Contact information
Practice address
1205 S 19TH ST, CORPUS CHRISTI, TX 78405-1527
(361) 885-0390
(361) 904-0178
Mailing address
PO BOX 5407, CORPUS CHRISTI, TX 78465-5407
(361) 885-0390
(361) 904-0178
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
J6958
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053303255
NPI
TX
01
—
1477545655
NPI
TX
01
—
1942201439
NPI
TX
Enumeration date
05/26/2006
Last updated
10/30/2012
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