Organization
CANCER CARE NETWORK OF SOUTH TEXAS PA
Active
Other names
Fred M. Massey, M.D. P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H GORDON MD (PRESIDENT)
(210) 545-6972
Entity
Organization
Contact information
Practice address
7922 EWING HALSELL, STE. 220, SAN ANTONIO, TX 78229-3724
(210) 614-9548
(210) 616-0275
Mailing address
7922 EWING HALSELL, STE. 220, SAN ANTONIO, TX 78229-3724
(210) 614-9548
(210) 616-0275
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
—
—
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U40Q
BCBS OF TX
TX
05
—
109514302
—
TX
Enumeration date
10/07/2008
Last updated
05/27/2010
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