CANCER CARE NETWORK OF SOUTH TEXAS PA – NPI #1518075076
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CANCER CARE NETWORK OF SOUTH TEXAS PA is a provider located in KERRVILLE, TX. NPPES has assigned the NPI number 1518075076 to CANCER CARE NETWORK OF SOUTH TEXAS PA on August 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CANCER CARE NETWORK OF SOUTH TEXAS PA is also known by the name KERRVILLE-S.A.TUMOR&BLOOD CLINIC.PA. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 16 years ago on May 26, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CANCER CARE NETWORK OF SOUTH TEXAS PA below.

NPI Profile for
CANCER CARE NETWORK OF SOUTH TEXAS PA

NPI Number
1518075076
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CANCER CARE NETWORK OF SOUTH TEXAS PA
Other Name: KERRVILLE-S.A.TUMOR&BLOOD CLINIC.PA
Primary location
694 HILL COUNTRY DR
KERRVILLE, TX 78028-6078
Phone: (830) 792-3434 Fax: (830) 257-5875
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID GORDON
PRESIDENT
Phone: (210) 545-6972
Updated
Identifiers

Identifiers for CANCER CARE NETWORK OF SOUTH TEXAS PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUECROSS/BLUESHIELD TXTX00U40Q
MEDICAIDTX109514302
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.