CCCST - UVALDE – NPI #1699802546
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.

Health Care Provider Taxonomy Code for Internal Medicine

CCCST - UVALDE is a provider located in UVALDE, TX. NPPES has assigned the NPI number 1699802546 to CCCST - UVALDE on February 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 6 years ago on Aug 22, 2020. 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 CCCST - UVALDE below.

NPI Profile for
CCCST - UVALDE

NPI Number
1699802546
Enumeration Date

(more than 19 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
CCCST - UVALDE
Primary location
1025 GARNER FIELD RD
UVALDE, TX 78801-4809
Phone: (830) 278-2469 Fax: (830) 278-2142
Mailing address
4411 MEDICAL DR STE 100
SAN ANTONIO, TX 78229-3832
Phone: (210) 595-5300 Fax: (210) 614-8740
Organization Subpart
No
Authorized Official
ROGER LYONS
PRESIDENT
Phone: (210) 595-5300
Updated
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.