Provider Demographics
NPI:1396361556
Name:ONCOLOGY & HEMATOLOGY OF SOUTH TEXAS PA
Entity Type:Organization
Organization Name:ONCOLOGY & HEMATOLOGY OF SOUTH TEXAS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-724-8543
Mailing Address - Street 1:2344 LAGUNA DEL MAR CT STE 202
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-3469
Mailing Address - Country:US
Mailing Address - Phone:956-462-2324
Mailing Address - Fax:956-999-8476
Practice Address - Street 1:2344 LAGUNA DEL MAR CT STE 202
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-3469
Practice Address - Country:US
Practice Address - Phone:956-462-2324
Practice Address - Fax:956-999-8476
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONCOLOGY & HEMATOLOGY OF SOUTH TEXAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy