Organization Active NPI

Texas Cancer Clinic PA

  • Radiation Oncology Physician
  • San Antonio, TX
National Provider Identifier
1316944655
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
H8803 Issued in TX
Legal business name
TEXAS CANCER CLINIC PA
Practice address
9102 Floyd Curl Dr
San Antonio, TX 78240-1553
Phone
(210) 247-0888
Fax
(210) 558-0758
NPI assigned
Jul 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bradley Robert Prestidge, MDNPI 1134126220
Title
Owner
Phone
(210) 247-0888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X H8803 TX Primary

Addresses

Primary practice location

9102 Floyd Curl Dr
San Antonio, TX 78240-1553

Mailing address

9102 Floyd Curl Dr
San Antonio, TX 78240-1553
Phone (210) 247-0888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1316944655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9102 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401553",
            "telephone_number": "210-247-0888",
            "fax_number": "210-558-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9102 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401553",
            "telephone_number": "210-247-0888",
            "fax_number": "210-558-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS CANCER CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "PRESTIDGE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-247-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "H8803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.