Organization
CANCER CARE NETWORK OF SOUTH TEXAS PA
Active
Other names
Uvalde Office
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER M LYONS MD (PRESIDENT)
(210) 595-5300
Entity
Organization
Contact information
Practice address
1195 GARNER FIELD RD, BLDG, 2, SUITE 200, UVALDE, TX 78801-4820
(830) 278-2469
(210) 595-5301
Mailing address
100 NE LOOP 410, SUITE 600, SAN ANTONIO, TX 78216-4700
(210) 242-6541
(210) 212-5136
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U40Q
BCBS OF TX
TX
05
—
109514302
—
TX
Enumeration date
10/08/2008
Last updated
10/10/2012
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