Temple Cancer Clinic, PA

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

G4724 Issued in TX

Legal business name

TEMPLE CANCER CLINIC, PA

Practice address

2207 S Clear Creek Rd
Suite 302
Killeen, TX 76549-4132

Phone

(254) 526-5353

Fax

(254) 554-5298

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mani Subramanian

Title

Dr Owner

Phone

(254) 526-5353

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Cedar Park Oncology Clinic

  • Hematology & Oncology Physician
  • Cedar Park, TX
  • NPI 1134372030
  NPPES parent name

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1629001045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 S CLEAR CREEK RD",
            "address_2": "SUITE 302",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494132",
            "telephone_number": "254-526-5353",
            "fax_number": "254-554-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 S CLEAR CREEK RD",
            "address_2": "SUITE 302",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494132",
            "telephone_number": "254-526-5353",
            "fax_number": "254-554-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE CANCER CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "SUBRAMANIAN",
        "authorized_official_first_name": "MANI",
        "authorized_official_title_or_position": "DR OWNER",
        "authorized_official_telephone_number": "254-526-5353",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "G4724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1281644-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180221701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PROVIDER NUMBER",
            "identifier": "8S4240",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180220901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Teague
• Shayla Tedder
• Tell It All Solutions LLC
• Alexis Tellington
• Temple Behavioral Healthcare Hospital Inc
• Temple Healthcare, Inc
• Temple Vamc
• Thomas Ryan Temple
• Donna Lee Tenelly, LPC-S; LPC-INTERN
• Martha Tercero, M.S., CCC-SLP

• Hematology & Oncology Physician in Killeen, TX
• Providers in Killeen, TX by specialty
• Hematology & Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.