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

1448 E. Common St.
New Braunfels, TX 78130-3162

Phone

(830) 643-1762

Fax

(830) 609-7702

NPI assigned

Oct 7, 2008

Last updated

May 26, 2010By the provider in NPPES

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, MDNPI 1508838285

Title

President

Phone

(210) 595-5300

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• New Braunfels Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger M Lyons, MD

  • Hematology (Internal Medicine) Physician
  • San Antonio, TX
  • NPI 1508838285
  Authorized official Same address or phone

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1851542971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 E. COMMON ST.",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303162",
            "telephone_number": "830-643-1762",
            "fax_number": "830-609-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 E. COMMON ST.",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303162",
            "telephone_number": "830-643-1762",
            "fax_number": "830-609-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE NETWORK OF SOUTH TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2010-05-26",
        "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": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109514302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "00U40Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Braunfels",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carlos Campos, M.D., M.P.H.
• Desira Campos, LCSW
• Tatyana Elyssa Campos
• Faith Canales
• Cancer Care Centers of South Texas - New Braunfels
• Tifarah Marie Canion, LPC-A
• Rodolfo R. Canizales-Collazo, M.D.
• Cansecos Family Transport
• Ulysees T Cantero
• Amy Cantrell

• Hematology & Oncology Physician in New Braunfels, TX
• Providers in New Braunfels, 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 May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.