CANCER CARE NETWORK OF SOUTH TEXAS PA (NPI# 1801913462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801913462 |
| Entity Type | Organization |
| Organization Name | CANCER CARE NETWORK OF SOUTH TEXAS PA |
| Other Organization Name | MARBLE FALLS II - S.A. TUMOR & BLOOD CLINIC |
| Practice Address |
1100 Mission Hills #200 Marble Falls TX 78654 |
| Mailing Address |
100 Ne Loop 410 Suite 600 San Antonio TX 78216-4700 |
| Practice Telephone | 8306935497 |
| Practice Fax Number | 8306939356 |
| Mailing Telephone | 2102426541 |
| Mailing Fax Number | 2102125136 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-10-28 |
| Authorized Official Name | DR. DAVID H GORDON (PRESIDENT) |
| Authorized Official Telephone | 2105456972 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
E9664 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Marble Falls II - S.A. Tumor & Blood Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316198443 | Cancer Care Network of South Texas Pa | Internal Medicine | 1340 E Walnut St, Ste. 1348, Seguin, TX 78155-5126 | 2008-10-07 |
| 1851542971 | Cancer Care Network of South Texas Pa | Internal Medicine | 1448 E. Common St., New Braunfels, TX 78130-3162 | 2008-10-07 |
| 1841441961 | Cancer Care Network of South Texas Pa | Internal Medicine | 4411 Medical Drive, Ste. 100, San Antonio, TX 78229-3832 | 2008-10-07 |
| 1881845162 | Cancer Care Network of South Texas Pa | Internal Medicine | 606 31st St, Hondo, TX 78861-3512 | 2008-10-06 |
| 1942486964 | Cancer Care Network of South Texas Pa | Internal Medicine | 2130 N.e. Loop 410, Suite #100, San Antonio, TX 78217-4660 | 2008-01-22 |
| 1619023355 | Cancer Care Network of South Texas Pa | Internal Medicine | 715 Fm 1431e, Marble Falls, TX 78654 | 2007-01-26 |
| 1225064603 | Cancer Care Network of South Texas Pa | Internal Medicine | 100 Ne Loop 410, Suite # 600, San Antonio, TX 78216-4700 | 2006-06-25 |
| 1841513256 | Cancer Care Network of South Texas Pa | Internal Medicine | 5000 Baptist Health Dr, Ste. 116, Schertz, TX 78154-1193 | 2010-03-12 |
| 1336390269 | Cancer Care Network of South Texas Pa | Internal Medicine | 4411 Medical Drive, Ste. 100, San Antonio, TX 78229-3832 | 2008-10-09 |
| 1982855813 | Cancer Care Network of South Texas Pa | Internal Medicine | 4411 Medical Drive, Ste. 100, San Antonio, TX 78229-3832 | 2008-10-09 |
| Street Address |
1100 MISSION HILLS #200 |
| City | MARBLE FALLS |
| State | TX |
| Zip Code | 78654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114581956 | Alicia Rose Hutchison | Audiologist | 810 W Tx 71, Marble Falls, TX 78654 | 2019-04-26 |
| 1386105732 | Sandi Sunny | Physical Therapist | 810 W.state Highway 71, Marble Falls, TX 78654 | 2019-03-28 |
| 1518464536 | Jacob Keup | Audiologist | 304b Highlander Cir, Marble Falls, TX 78654 | 2018-04-06 |
| 1851835458 | Laurence Robert Bower IIi | Physiological Laboratory | 2511 Us Highway 281, Ste 300, Marble Falls, TX 78654 | 2016-12-15 |
| 1366995235 | Tavie Coyle Peters | Nurse Practitioner | 707 3rd Street, Marble Falls, TX 78654 | 2016-07-27 |
| 1184088015 | Mark Dresselhouse | Emergency Medicine | 810 W Tx-71, Marble Falls, TX 78654 | 2016-04-06 |
| 1326413709 | Angela Yvonne Hughes | Occupational Therapist | 810 W. Hwy 71, Marble Falls, TX 78654 | 2015-12-10 |
| 1548671894 | Matthew F Mccarty Md Pllc | Chiropractor | 1710 Highway 1431, Marble Falls, TX 78654 | 2014-05-08 |
| 1538491386 | Jerad M Howell | Chiropractor | 2300 Highway 281 North, Marble Falls, TX 78654 | 2010-02-04 |
| 1801052543 | Logan Hyatt Stanley | Dentist | 800 Esperanza Avenue, Suite A, Marble Falls, TX 78654 | 2008-08-01 |
| Find all providers in zip 78654 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619023355 | Cancer Care Network of South Texas Pa | Internal Medicine | 715 Fm 1431e, Marble Falls, TX 78654 | 2007-01-26 |
| 1740484336 | Prashanth Adapala | Internal Medicine | 800 W Highway 71, Marble Falls, TX 78654-8602 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205399961 | Christus Health Ark-la-tex | Internal Medicine | 5002 Cowhorn Creek Rd Ste 3205, Texarkana, TX 75503-9766 | 2019-04-10 |
| 1861958704 | Thi of Texas At Samaritan Hospice LLC | Internal Medicine | 12001 N Central Expy Ste 550, Dallas, TX 75243-3943 | 2019-02-15 |
| 1417485822 | Ahmad Ghorab | Internal Medicine | 1515 Holcombe Blvd #1445, Houston, TX 77030 | 2017-05-30 |
| 1063952943 | Irfan Jawed Md Pllc | Internal Medicine | 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 | 2017-02-27 |
| 1366981615 | Houston Cancer Treatment Centers Pa. | Internal Medicine | 4102 Woodlawn Ave Ste 160, Pasadena, TX 77504-1922 | 2017-02-20 |
| 1508222720 | Maurizio Bendandi | Internal Medicine | 6722 Mimosa Ln, Dallas, TX 75230-5214 | 2016-01-04 |
| 1245642073 | Juan Francisco Garza | Internal Medicine | 3333 Bayshore Blvd Ste 320, Pasadena, TX 77504-1950 | 2014-05-28 |
| 1124463211 | Oluchi Oke | Internal Medicine | 1515 Holcombe Blvd Unit 463, Division of Cancer Medicine, Houston, TX 77030-4000 | 2013-05-03 |
| 1710229323 | Adaeze Nwosu- Iheme | Internal Medicine | 2700 Citizens Plz Ste 200, Victoria, TX 77901-5756 | 2013-03-21 |
| 1144570599 | Gummadi & Desai LLC | Internal Medicine | 2717 Michael Angelo Ste 302, Edinburg, TX 78539-1409 | 2012-09-13 |
| Find all providers with the same taxonomy | ||||
| City | MARBLE FALLS |
| Zip Code | 78654 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.