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

204 W Schubert St
Fredericksburg, TX 78624-3847

Phone

(210) 242-6541

Fax

(210) 212-5136

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David H Gordon, M.D.

Title

President

Phone

(210) 545-6972

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Fredericksburg-S.A.Tumor & Blood Other name

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1710095302",
    "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": "204 W SCHUBERT ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786243847",
            "telephone_number": "210-242-6541",
            "fax_number": "210-212-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE NETWORK OF SOUTH TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-545-6972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD TX",
            "identifier": "00U40Q",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109514302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fredericksburg-S.A.Tumor & Blood",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nancy Sorrentino Byrd, M.ED CCC
• C Lance Love Mdpa
• Jennifer Renee Callahan, FNP-C
• Cameron B Culver MD MPH PLLC
• Giovanni Antonio Campagna II, MD
• David A Cantu, M.D.
• Capitol Global Emergency Services, Inc
• Kaelynn Diane Castaneda, AU.D.
• City of Fredericksburg
• Robert Kenneth Clark

• Hematology & Oncology Physician in Fredericksburg, TX
• Providers in Fredericksburg, 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 20, 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.