Cancer Care Network of South Texas, PA

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

CANCER CARE NETWORK OF SOUTH TEXAS, PA

Practice address

497 10TH St
Ste. 102
Floresville, TX 78114-3179

Phone

(210) 595-5300

Fax

(210) 595-5301

NPI assigned

Aug 10, 2010

Organization subpart

No

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

Authorized official

Name

Roger M Lyons, MD

Title

President

Phone

(210) 595-5300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Floresville - HOAST Other name

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1508171968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NE LOOP 410",
            "address_2": "SUITE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164700",
            "telephone_number": "210-242-6541",
            "fax_number": "210-212-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 10TH ST",
            "address_2": "STE. 102",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781143179",
            "telephone_number": "210-595-5300",
            "fax_number": "210-595-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE NETWORK OF SOUTH TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-595-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109514302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floresville - HOAST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kiersten Bolin, BSN, RN
• Brandon Blaker O D P C
• Melaney Bravo
• Kathy L Breitsprecher, CPNP
• Jetta Marie Brown, M.D.
• Guadalpe Cardona
• Care Pharma
• Ashleigh Carsten
• Giuliana Gabriella Castellano
• Jacquelin Elizabeth Castillo, MD

• All providers in Floresville, TX
• Hematology & Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.