Provider Demographics
NPI:1457597742
Name:LONE STAR CANCER ASSOCIATES, PA
Entity Type:Organization
Organization Name:LONE STAR CANCER ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEVEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:BHACHAWAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-227-6156
Mailing Address - Street 1:925 SAN PEDRO AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-4643
Mailing Address - Country:US
Mailing Address - Phone:210-227-6156
Mailing Address - Fax:210-227-0401
Practice Address - Street 1:925 SAN PEDRO AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4643
Practice Address - Country:US
Practice Address - Phone:210-227-6156
Practice Address - Fax:210-227-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3999207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty