Organization
SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LON S. SMITH M.D. (PRESIDENT)
(210) 593-5700
Entity
Organization
Contact information
Practice address
4383 MEDICAL DRIVE, SAN ANTONIO, TX 78229-3307
(210) 593-2575
(210) 593-5992
Mailing address
4383 MEDICAL DRIVE, SUITE 4049, SAN ANTONIO, TX 78229-3307
(210) 593-5700
(210) 593-5899
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092331001
—
TX
Enumeration date
10/18/2006
Last updated
05/16/2013
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