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Organization

CANCER CARE NETWORK OF SOUTH TEXAS PA

Active
Other names
New Braunfels
Organization subpart
No

Provider details

NPI number
Authorized official
ROGER M LYONS MD (PRESIDENT)
(210) 595-5300
Entity
Organization

Contact information

Practice address
1448 E. COMMON ST., NEW BRAUNFELS, TX 78130-3162
(830) 643-1762
(830) 609-7702
Mailing address
1448 E. COMMON ST., NEW BRAUNFELS, TX 78130-3162
(830) 643-1762
(830) 609-7702

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RH0003X
Hematology & Oncology Physician
Primary
2085R0001X
Radiation Oncology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00U40Q
BCBS OF TX
TX
05
109514302
TX
Enumeration date
10/07/2008
Last updated
05/26/2010
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