Organization
CENTRAL TEXAS MEDICAL SPECIALISTS PLLC
Active
Other names
Austin Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE RICCI (REVENUE CYCLE DIRECTOR)
(512) 505-5500
Entity
Organization
Contact information
Practice address
9715 BURNET RD, BLDG 7, STE 200, AUSTIN, TX 78758-5215
(512) 505-5500
(512) 585-8490
Mailing address
9715 BURNET RD, BLDG 7, STE 200, AUSTIN, TX 78758-5215
(512) 505-5500
(512) 585-8490
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157895704
—
TX
01
—
2159693
PK
—
Enumeration date
01/27/2006
Last updated
02/24/2017
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