Cleburne Cancer Center LTD

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

License

R26579 Issued in TX

Legal business name

CLEBURNE CANCER CENTER LTD

Practice address

191 Walls Dr
Cleburne, TX 76033-4033

Phone

(817) 648-0120

Fax

(817) 648-0121

NPI assigned

Aug 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandy Rios, CCS-P

Title

Administrative Assistant

Phone

(830) 257-2191

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467460162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 SIDNEY BAKER ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285367",
            "telephone_number": "830-257-2070",
            "fax_number": "830-257-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 WALLS DR",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334033",
            "telephone_number": "817-648-0120",
            "fax_number": "817-648-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEBURNE CANCER CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "830-257-2191",
        "authorized_official_credential": "CCS-P"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "TX",
            "license": "R26579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0216DC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Cleburne
• CKCW Holdings, LLC (Almost Home Senior Care)
• Clearfork Cleburne LLC
• Cleburne Anesthesia PLLC
• Cleburne Birthing Center
• Cleburne Dental Implants and Dentures PLLC
• Cleburne Dental Studio PLLC
• Cleburne Digestive Health PLLC
• Cleburne Drug Inc
• Cleburne Drug Inc (Cleburne Drug)

• Radiation Oncology Clinic/Center in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Radiation Oncology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.