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NPI Code Detail

MEDICARE: CANCER HEALTHCARE ASSOCIATES

MEDICARE: CANCER HEALTHCARE ASSOCIATES
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
1207ND0101XMOHS-Micrographic Surgery Physician00U97MTX
2207RX0202XMedical Oncology Physician00U97MTX
3207ZP0102XAnatomic Pathology & Clinical Pathology Physician00U97MTX
4208600000XSurgery Physician00U97MTX
5207RH0003XHematology & Oncology Physician00U97MTX

General Provider Information

NPI Number : 1548263346
Entity Type Code : Organization
Provider Name (Legal Business Name) : CANCER HEALTHCARE ASSOCIATES
Provider Business Mailing Address
First Line : 7979 WURZBACH RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4427
Country : US
Telephone Number : 210-450-5840
Fax Number : 210-692-9822
Provider Business Practice Location Address
First Line : 7979 WURZBACH RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4427
Country : US
Telephone Number : 210-450-5840
Fax Number : 210-692-9822
Authorized Official
Title or Position : PRACTICE MANAGER
Name : DEBORAH IVY
Credential :
Telephone Number : 210-450-5840
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/18/2007

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Directions to “CANCER HEALTHCARE ASSOCIATES ” Practice Location

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