South East Texas Cancer Center

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

Legal business name

SOUTH EAST TEXAS CANCER CENTER

Practice address

690 N 14TH St
Beaumont, TX 77702-1449

Phone

(409) 899-7181

Fax

(409) 899-7179

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

John E Sims

Title

Executive Director

Phone

(972) 490-2910

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1366499683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911223",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911223",
            "telephone_number": "972-997-8000",
            "fax_number": "972-437-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 N 14TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021449",
            "telephone_number": "409-899-7181",
            "fax_number": "409-899-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EAST TEXAS CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "972-490-2910"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079695501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUD SHIELD",
            "identifier": "0034MA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abraham B Soriano, P.T.
• Michaela J Sossamon, RD,LD
• Rodolfo P Sotolongo, MD
• Soumava Sen,DDS, P.C.
• Sound Inpatient Physicians of Texas I, Inc
• South Texas American Home Medical Supply
• Southeast Emergency Physician Associates, P.a.
• Southeast Texas Anesthesia LLP
• Southeast Texas Assisting, Inc.
• Southeast Texas Bariatric Center, LLC

• All providers in Beaumont, TX
• Radiation Oncology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.