Healthcare Provider Details

I. General information

NPI: 1053580217
Provider Name (Legal Business Name): CANCER SURGERY & PREVENTION SPECIALISTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2008
Last Update Date: 02/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 FLOYD CURL DR SUITE 508
SAN ANTONIO TX
78229-3919
US

IV. Provider business mailing address

5 LOST TIMBERS
SAN ANTONIO TX
78248-1661
US

V. Phone/Fax

Practice location:
  • Phone: 210-386-0737
  • Fax: 210-386-0737
Mailing address:
  • Phone: 210-492-3174
  • Fax: 210-492-3174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXANDER R MILLER
Title or Position: PRES AND CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 210-386-0737