Organization
REGIONAL CANCER TREATMENT CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY SONNENBERG (MANAGER)
(325) 653-2010
Entity
Organization
Contact information
Practice address
102 N MAGDALEN ST, SUITE 120, SAN ANGELO, TX 76903-5400
(325) 653-2010
(325) 658-8583
Mailing address
102 N MAGDALEN ST, SUITE 120, SAN ANGELO, TX 76903-5400
(325) 653-2010
(325) 658-8583
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109435102
—
TX
Enumeration date
08/30/2005
Last updated
01/09/2013
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