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NPI Code Detail

MEDICARE: LONE STAR CANCER ASSOCIATES, PA

MEDICARE: LONE STAR CANCER ASSOCIATES, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology PhysicianK3999TX

General Provider Information

NPI Number : 1457597742
Entity Type Code : Organization
Provider Name (Legal Business Name) : LONE STAR CANCER ASSOCIATES, PA
Provider Business Mailing Address
First Line : 925 SAN PEDRO AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78212-4643
Country : US
Telephone Number : 210-227-6156
Fax Number : 210-227-0401
Provider Business Practice Location Address
First Line : 925 SAN PEDRO AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78212-4643
Country : US
Telephone Number : 210-227-6156
Fax Number : 210-227-0401
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : DR. DEVEN K BHACHAWAT
Credential : MD
Telephone Number : 210-227-6156
Provider Enumeration Date : 12/17/2008
Last Update Date : 01/22/2009

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Directions to “LONE STAR CANCER ASSOCIATES, PA ” Practice Location

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