Organization Active NPI

South Texas Comprehensive Cancer Centers PLLC

  • Hematology & Oncology Physician
  • Corpus Christi, TX
National Provider Identifier
1740236207
Registry record updated Oct 30, 2012
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Sep 20, 2015.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
J6958 Issued in TX
Legal business name
SOUTH TEXAS COMPREHENSIVE CANCER CENTERS PLLC
Practice address
1205 S 19TH St
Corpus Christi, TX 78405-1527
Phone
(361) 885-0390
Fax
(361) 904-0178
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Mohamad Ayman Ghraowi, MDNPI 1942201439
Title
Medical Director
Phone
(361) 885-0390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X J6958 TX Primary

Addresses

Primary practice location

1205 S 19TH St
Corpus Christi, TX 78405-1527

Mailing address

PO Box 5407
Corpus Christi, TX 78465-5407
Phone (361) 885-0390

Other identifiers 3

IdentifierTypeStateIssuer
1053303255OtherTXNPI
1477545655OtherTXNPI
1942201439OtherTXNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

2510 E Main St
Ste 110
Alice, TX 78332
Phone (361) 396-4371

1663 W Wheeler Ave
Ste B
Aransas Pass, TX 78336
Phone (361) 248-7938

1311 E General Cavazos Blvd
Ste 205A
Kingsville, TX 78363
Phone (361) 592-5555

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1740236207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5407",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784655407",
            "telephone_number": "361-885-0390",
            "fax_number": "361-904-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S 19TH ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051527",
            "telephone_number": "361-885-0390",
            "fax_number": "361-904-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS COMPREHENSIVE CANCER CENTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "GHRAOWI",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "AYMAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "361-885-0390",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "J6958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053303255",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477545655",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942201439",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.