Oncology & Hematology of South Texas PA
Organization Active NPI Hematology & Oncology Physician · Laredo, TX
NPI 1659627040 · NPPES record last updated Oct 23, 2025
Key facts
- NPI
- 1659627040
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- Legal business name
- ONCOLOGY & HEMATOLOGY OF SOUTH TEXAS PA
- Practice address
- 2344 Laguna del Mar CT Ste 101
Laredo, TX 78041-3468 - Phone
- (956) 724-8543
- Fax
- (956) 724-8352
- NPI assigned
- Aug 3, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Eduardo Miranda, MD
- Title
- Owner
- Phone
- (956) 724-8543
Practitioners 2
-
Brooke E Holman, CNP
-
Eduardo Miranda, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130218000382 | TX | Part B Supplier - Clinic/Group Practice | 6800040080 |
Receives reassigned benefits from 2 practitioners Practice locations: Laredo, TX |
National Provider Directory
Locations
2344 Laguna del Mar Ct
Ste 104
Laredo, TX 78041
Phone (956) 724-8543
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | Yes |
Addresses
Primary practice location
2344 Laguna del Mar CT Ste 101
Laredo, TX 78041-3468
Mailing address
2344 Laguna del Mar CT Ste 101
Laredo, TX 78041-3468
Phone (956) 724-8543
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 318773401 | Medicaid | TX | |
| 266036 | Other | TX | MEDICARE |
Other providers in Laredo, TX
- Irma Lee Ollervides
- Melissa Ollervides
- Jaziel Joel Olmedo
- Jill Olsen
- Oncology & Hematology of South Texas PA
- One Med Clinic LLC
- Onsite X-Rays LLC
- Optic Ra
- Optimal Care S Laredo LLC
- Optumcare Hospice LLC
All providers in Laredo, TX · Hematology & Oncology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.